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미세 치근단 수술의 성공과 실패

Other Titles
 Success and failure of endodontic microsurgery 
Authors
 송민주 ; 김의성 
Citation
 Journal of Korean Academy of Conservative Dentistry(대한치과보존학회지), Vol.36(6) : 465~476, 2011 
Journal Title
 Journal of Korean Academy of Conservative Dentistry(대한치과보존학회지) 
ISSN
 1225-0864 
Issue Date
2011
Abstract
In current endodontic practice, introduction of operating microscope, ultrasonic instruments, and microinstruments has induced a big change in the field of surgical retreatment. In this study, we aimed to offer key steps of endodontic microsurgery procedure compared with traditional root-end surgery, and to evaluate factors influencing success and failure based on published articles. Endodontic microsurgery is a surgical procedure performed with the aid of a microscope, ultrasonic instruments and modern microsurgical instruments. The microscope provides magnification and illumination - essential for identifying minute details of the apical anatomy. Ultrasonic instruments facilitate the precise root-end preparation that is within the anatomical space of the canal. Modern endodontics can therefore be performed with precision and predictability, thus eliminating the disadvantages inherent in traditional periapical surgery such as large osteotomy, beveled apicoectomy, inaccurate root-end preparation and the inability to observe isthmus. Factors influencing the outcomes of endodontic microsurgery may be diverse, but standardization of procedures can minimize its range. Among patient and tooth-related factors, periodontal status and tooth position are known to be prognostic, but there are only few articles concerning this matter. High-evidence randomized clinical trials or prospective cohort studies are needed to confirm these findings.
URI
http://ir.ymlib.yonsei.ac.kr/handle/22282913/94699
DOI
10.5395/JKACD.2011.36.6.465
Appears in Collections:
1. 연구논문 > 2. College of Dentistry > Dept. of Conservative Dentistry
Yonsei Authors
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