The radicular groove: its potential clinical significance.

Abstract:

:This report examines three clinical cases of root-filled teeth with primary endodontic lesions. During endodontic surgery, an area of incomplete root bifurcation beginning in the coronal or middle third of the root surface and terminating at or near the apical foramen were observed. The radicular grooves of two teeth were eliminated using a round bur ("saucerization"), and the resulting defect was filled with a bone substitute or calcium sulfate and covered by an absorbable collagen membrane. The other tooth was extracted, the groove was eliminated with a similar technique, and the tooth was replanted. Bacteria have been reported in chronic apical lesions. Our observations suggest that after conventional endodontic therapy, the etiology of a nonresolving primary endodontic lesion may be bacteria of endodontic origin sequestered within the protective confines of an apical-radicular groove.

journal_name

J Endod

journal_title

Journal of endodontics

authors

Simon JH,Dogan H,Ceresa LM,Silver GK

doi

10.1097/00004770-200005000-00012

keywords:

subject

Has Abstract

pub_date

2000-05-01 00:00:00

pages

295-8

issue

5

eissn

0099-2399

issn

1878-3554

pii

S0099-2399(05)60982-X

journal_volume

26

pub_type

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