Microsurgical Endodontics, a term coined by the author himself, is a branch of Endodontics that allows to save dental elements otherwise lost and intended to be replaced with implants. The study of it means adding precious information to your knowledge in endodontics. There are many indications of intervention, always linked to the failure of a previous treatment and may include solutions that, once put into practice, can resolve clinically complicated situations in a single session. The text presents a complete examination of the diagnostic approaches, of the clinical procedures, of the necessary tools and of the possible complications that Microsurgical Endodontics involves. It presents a complete picture, both from the theoretical point of view and the practical aspect, in order to face every intervention with confidence, from the management of soft tissues to the early removal of a suture.
Strengths
- The Author is a world-renowned endodontist and has made the history of modern Endodontics. He is the founder of the Center for the teaching of Micro-Endodontics, based in Florence, where he teaches and holds theoretical-practical courses of Clinical and Surgical Endodontics under the microscope. He has participated and still participates as a speaker at numerous Congresses in over 50 countries;
- The wealth of the clinical cases presented with long-term evaluation of the achieved results gives the volume an essential value.
Author
Arnaldo Castellucci. Endodontist, Florence
Past President of the International Federation of Endodontic Associations (IFEA) and of the Italian Society of Endodontics (SIE), Active Member of the American Association of Endodontists (AAE) and of the European Society of Endodontology (ESE)
Table of contents
CHAPTER 1
Why Micro-Surgical Endodontics?
Diagnosis and Treatment Plan
CBCT
CHAPTER 2
Indications and contraindications
False Indications
True Indications
Contraindications
CHAPTER 3
The Surgical Operating Microscope
Anatomy of the Surgical Operating Microscope
The supporting structure
The body of the microscope
The light source
Accessories
Positioning the microscope
Operator Positioning
Rough Positioning of the Patient
Positioning of the Microscope and Fine Focus
Adjustment of the Interpupillary Distance
Fine Positioning of the Patient
Parfocal Adjustment
Fine Focus Adjustment
Assistant Scope Adjustment
Ergonomics and the microscope
Preparation of the patient
CHAPTER 4
Local anesthesia
Technique
CHAPTER 5
Soft Tissue Management
Stabilization of the Surgical Site
Anatomic Challenges
Greater palatal artery
Mental nerve
Inferior alveolar nerve
Maxillary sinus
The incision
The Semilunar flap
The Marginal flap
The Para-marginal flap (Ochsenbein-Lubke)
Reflection of the flap
Retraction of the flap
CHAPTER 6
Hard Tissue Management
Access to the root apex
Crypt management
The root end bevel
The ultrasonic root end preparation
CHAPTER 7
Retro_Cavity filling
Root End Filling Materials
CHAPTER 8
Suture
Suturing technique
Suture removal
CHAPTER 9
Post Operative Instructions
CHAPTER 10
Prognosis
Index
