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Article
Success rate of apicectomy of anterior and premolar teeth

Authors: Mohammed Kh Hasouni --- Shehab A Hamad
Journal: Al-Rafidain Dental Journal مجلة الرافدين لطب الأسنان ISSN: 18121217 Year: 2005 Volume: 5 Issue: 2 Pages: 161-167
Publisher: Mosul University جامعة الموصل

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Abstract

This study was carried out to assess the success rate ofapicectomy of anterior and premolar teeth. Out of 336 patients,who had undergone apicectomy in a private practice between1997–2001, only 256 patients (76.2%) completed the twoyears recall visits; which was the minimum time recommendedin this study to judge whether the operation was successfulor not. The age range of the patients was 12–67 years(mean of 34.7 years), 136 were males and 120 were females.The overall success rate of apicectomy in this study was89.1%. Sex of the patient had no bearing on the success rate(p > 0.05). Highly significant influence of the patient’s age onthe success rate was observed (p < 0.01); the success rate increasedproportionally with increased age. Highly significantinfluence of the type of the apicectomised tooth on the successrate was noted (p < 0.001); upper anterior teeth showed thehighest success rate (92.1%), whereas upper premolars showedthe lowest success rate (77.4%). Periapical condition of thetooth prior to the operation, preoperative vs postoperative obturationof the root canal, and orthograde obturation vs retrogradeobturation were not significant factors affecting the successrate of apicectomy (p > 0.05).


Article
The Effect of Flap Design on Wound Healing after Periapical Surgery: A Comparative Study.

Author: Mohammad S. Suleiman
Journal: Al-Rafidain Dental Journal مجلة الرافدين لطب الأسنان ISSN: 18121217 Year: 2008 Volume: 8 Issue: 1 Pages: 120-127
Publisher: Mosul University جامعة الموصل

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Abstract

Aims: To assess the clinical effect of different flap design that used in periapical surgery and their
relation to untoward postoperative sequel. Materials and methods: Forty five patients were included
in the present study, they were divided randomly into three groups, each comprised of (15) patients. In
the first group, apicectomy was done using intrasulcular triangular (2–sided) flap. Whereas, in the
second group, a submarginal (Luebke–Ochsenbein) scalloped 2–sided flap was used. While in the third
group, a new experimental (straight mucogingival) 2–sided flap was tested. Postoperative healing was
evaluated clinically in regard to oedema, alteration of soft tissue colour, recession of marginal gingiva,
extent of scarring, and closure of the wound site. Assessment was done at 2, 7, 15 and 30 days
postoperative intervals. Results: Comparison among the three study groups was performed. Statistical
analysis revealed significant differences in the results of experimental flap over the other two types in
regard to oedema, colour and wound closure with the superiority of the former on the latter flaps. Both
experimental and Luebke–Ochsenbein flaps showed significant differences from intrasulcular incision
in their effect on gingival recession. In contrast, scarring was less evident in intrasulcular flap followed
by experimental flap while in Luebke–Ochsenbein incision, this complication was significant.
Conclusion: This study; however, revealed that the experimental flap allows for rapid and recession
free healing following periapical surgery. In addition, inflammatory changes persist for longer time in
the intrasulcular and submarginal (Luebke–Ochsenbein) incision than in experemintal incision. So it
was concluded that the new flap design could provide an alternative.


Article
Effect of Low Level Laser Therapy, Dex-amethasone, and Lornoxicam on Post-Operative Pain after Periapical surgery: A comparative clinical study

Authors: Waqass S. Thanoon --- Omer W. Majid
Journal: Al-Rafidain Dental Journal مجلة الرافدين لطب الأسنان ISSN: 18121217 Year: 2014 Volume: 14 Issue: 1 Pages: 70-75
Publisher: Mosul University جامعة الموصل

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Abstract

To compare the effect of low level laser therapy ( LLLT), submucosal lornoxicam, and submucosaldexamethasone to control postoperative pain after periapical surgery of upper anterior teeth.Materials and Methods: This randomized, double- blind, controlled trial was performed on patientswho required surgical endodontics of single upper anterior tooth under local anesthesia. A case formwas used. Standardized surgical procedure was followed. Patients were categorized into 6 groups;LLLT, lornoxicam, LLLT+ lornoxicam , dexamethasone, placebo, and control groups. Measurementsof pain were undertaken at days 1-7. Results: : Pain on Visual Analog Scale (VAS) also reached it'speak on 6 hours and faded away by day 7. With respect to pain (on VAS), dexamethasone treatedgroup continued to be the best at all intervals (P<0.05) followed by LLLT+lornoxicam group, Placebogroup, lornoxicam group, LLLT group, and control group in a descending order. There were significantdifferences for all treated groups on (6 hours) post operatively as compared with control group. Lasertreated group showed significant reduction in pain at 6 hours, lornoxicam group showed significantreduction in pain at day 2 as compared with other tereated groups. Dexamethasone and placebo groupsshowed significant reduction in pain at day 3 as compared with other tereated groups. Up to the end offollow up period, no cases of wound infection were reported. No side effects of drugs and treatmentsused in the trial were demonstrated. Conclusion: Submucosal dexamethasone 4mg injection is an effectivetherapy for reducing postoperative pain after periapical surgery. The treatment offers a simple,safe, painless, noninvasive and cost therapeutic option for moderate and severe cases. LLLT and submucosallornoxicam seem to have little effect in this regard and found to be associated with some discomfortand inconvenience in many cases.


Article
Evaluation of Ibuprofen, Clarithromycin and Suprax efficacy on swelling following apicectomy

Authors: Tahani A AL-SANDOOK --- Sabah M SAKA --- Raid M BASHEER
Journal: Al-Rafidain Dental Journal مجلة الرافدين لطب الأسنان ISSN: 18121217 Year: 2002 Volume: 2 Issue: 1 Pages: 140-150
Publisher: Mosul University جامعة الموصل

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Abstract

The effect of Suprax, Clarithromycin antibiotics and brufennonsteroidal anti-inflammatory drug on the postoperative swelling after apicectomy of one upper anterior teeth was evaluated on sixty eight patients suffering from chronic periapical lesion requiring apicectomy without retrograde filling. They were divided into (5) groups according to the type of medicament administered postoperatively.The patients were examined in the 2ndand 7thpostoperative day for evaluation of postoperative swelling that may occur in the upper lip after apicectomy. The evaluation has been made by measuring the lip thickness by Sliding ruler method,face bow method and computerized photographic method. The results showed that Brufen tablets proved better control for postoperative swelling, Clarithromycin tables, also produce significant reduction in the amount of swelling whereas Suprax capsules and paracetamol tablets produce no significant effect postoperative swelling compared to placebo.


Article
The Success rate of Retrograde Filling Materials in Re-apicectomized Teeth using Mineral Trioxide Aggregate (MTA) and Zinc free Amalgam (A comparative clinical study).

Authors: Hani M Khlaif --- Wael Sh Hussain --- Bara S Minwah
Journal: Al-Rafidain Dental Journal مجلة الرافدين لطب الأسنان ISSN: 18121217 Year: 2012 Volume: 12 Issue: 1 Pages: 171-176
Publisher: Mosul University جامعة الموصل

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Abstract

Aim of the study: To compare the success rate of root end filling material using MTA( mineral trioxideaggregate) and zinc free amalgam in re-apicectomized teeth. Materials and methods: The studysample consisted of 30 patients having previously failed surgical endodontic treatment. The samplewas divided into 2 groups, the 1st group treated with MTA root end filling, while the 2nd group treatedwith amalgam root end filling. The patients were followed up after 6 months to assess the periapicalarea both clinically and radiographically. Results: There was no statistically significant difference betweenthe success rate of MTA treated group and that of amalgam treated group, although MTA has ahigher success rate than amalgam treated group .the success rate of MTA treated group was (86.6 %)while the failure rate of MTA treated group was (13.3%), the success rate of zinc free amalgam treatedgroup was ( 66.6%) and the rate of uncertain healing was (13.3%) while the rate of failure was (22%).Conclusions: MTA can be a good alternative to amalgam as a retro grade filling material, but amalgamis inexpensive, available ,and most of the dentist are familiar with the use of it.


Article
A comparative study between the use of non-steroidal anti-inflammatory analgesic and antibiotics after apicectomy

Authors: Helme A AL-TAEE --- Tahani A AL-SANDOOK
Journal: Al-Rafidain Dental Journal مجلة الرافدين لطب الأسنان ISSN: 18121217 Year: 2001 Volume: 1 Issue: 3 Pages: S229-S236
Publisher: Mosul University جامعة الموصل

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Abstract

Non steroidal anti-inflammatory agents (NSAIAs), particularly Ibuprofen, found to be effective in lowering the degree of swelling after apicectomy when it is compared with the combined use of antibiotic particularly Penicillin with Paracetamol. This study suggests the only use of the NSAIAs after apicectomywithout the need of antibiotic use, unless it is recommended or NSAIAs were contraindicated.


Article
A clinical comparative evaluation between upper and lower first molar apicectomy procedures (A retrospective trial).

Authors: Wafaa K Fathi --- Wael T Al Wattar
Journal: Al-Rafidain Dental Journal مجلة الرافدين لطب الأسنان ISSN: 18121217 Year: 2011 Volume: 11 Issue: 2 Pages: 381-389
Publisher: Mosul University جامعة الموصل

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Abstract

Aims: The aim of this retrospective clinical trial was to evaluate and compare the upper and lower first molar apicectomy procedures in terms based on certain clinical criteria selected. Materials and Meth-ods: This clinical trial was conducted at the Department of Oral and Maxillofacial Surgery / College of Dentistry / University of Mosul. The sample recruited was composed of forty healthy subjects who required apicectomy procedures on either an upper or lower fist molar. The sample was subdivided into two groups of twenty subjects each. The first group comprised those patients where root end resection ( apicectomy ) on an upper first molar tooth was required. The second group included those patients who required an apicectomy procedure on one of their lower first molar tooth . Criteria that were eval-uated and compared included pain, swelling and trismus which were evaluated on the first operative day, second, third and seventh postoperative day. Results: A significant difference was observed be-tween recall visits in regard to the pain level of mandibular procedures and was also observed in maxil-lary procedures. In regard to pain level assessment between mandibular and maxillary procedures, a significant difference was observed with pain levels higher in mandibular procedures for the second and third day when compared to maxillary procedures. A significant difference was observed between recall visits in regard to swelling of soft tissue of mandibular and maxillary procedures. Concerning grade of swelling assessment between mandibular and maxillary procedures, a significant difference was observed with swelling of soft tissue higher in mandibular procedures on the second and third day when compared to maxillary procedures. A significant difference was observed for limitation of mouth opening in mandibular procedures between recall visits specifically on the first and second day but was not observed in maxillary procedures. When comparing between upper and lower surgical procedures, a significant difference was observed in trismus specially on the second and third post-operative day and which was more pronounced in mandibular procedures. Conclusions: It seems that complications following root end resection on lower first molar teeth are more evident when compared to the upper first molar region, but only in the first few days following surgery. However, such complications were tolerable to the patient and can be overcome by medications and exercise. Such complications should not hinder the oral surgeon from performing endodontic surgery on posterior teeth when indicated


Article
Does the size of the resorbed bone periapically predict the lesional type

Author: Sabah M SAKA
Journal: Al-Rafidain Dental Journal مجلة الرافدين لطب الأسنان ISSN: 18121217 Year: 2001 Volume: 1 Issue: 3 Pages: S267-S270
Publisher: Mosul University جامعة الموصل

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Abstract

A retrospective study on (86)periapical lesions associated with non-vital anterior teeth was performed. The size of the resorbed bone caused by the lesion was measured to the nearest millimeters on the radiograph. Twenty two of the lesions were radicular cyst and the remaining (64) were granuloma or abscess.The size of the resorbed bone was related to the histological type of the lesion. It was possible to predict radicular cyst with (91.3%) accuracy before apical surgery is undertaken. In periapical granuloma or abscess, it Was possible to predict with (94%) accuracy. Therefore, selection of treatment modality whether conventional endodontic or apical surgery is possible

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