Abstract:
INTRODUCTION:Currently, the success of periapical microsurgery is determined by the restoration of the lamina dura and the elimination of symptoms. However, inadequate site preservation may prevent later implant placement. Although not possible before, the advent of cone-beam computed tomographic imaging and computer-aided registration allows for indirect and accurate 3-dimensional analysis of the surgical site over time. This study analyzed the volumetric healing pattern of the buccal plate after periapical microsurgery, with a specific focus on the buccolingual thickness of bone and the regression of the surface contour of the cortical plate. METHODS:Thirty-seven patients were scheduled for follow-up at least 1 year after periapical microsurgery (median = 25 months, total range = 12-31 months). Volumetric healing was analyzed by converting preoperative and postoperative cone-beam computed tomographic images into digital 3-dimensional models. The models were then registered to be able to analyze the changes in volume over time. Analysis was completed using Geomagic software (3D Systems, Rock Hill, SC), which allowed for registration of the volumes, calculation of volume change, and calculation of the margin of error. RESULTS:Twelve cases qualified for volumetric analysis. The median volumetric reduction of the cortical plate was -24.9 mm3 (interquartile range = -8.94 to -67 mm3), with an average linear error of 0.7 mm. This corresponded to an average loss in buccolingual dimension of 0.1-0.25 mm. Regression of the cortical plate was within the margin of error in all cases. CONCLUSIONS:After periapical microsurgery, and in the absence of grafting materials or membranes, healing occurs with little to no regression of the buccal cortical plate.
journal_name
J Endodjournal_title
Journal of endodonticsauthors
Crossen D,Morelli T,Tyndall DA,Tawil PZdoi
10.1016/j.joen.2018.11.002subject
Has Abstractpub_date
2019-04-01 00:00:00pages
402-405issue
4eissn
0099-2399issn
1878-3554pii
S0099-2399(18)30755-6journal_volume
45pub_type
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journal_title:Journal of endodontics
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journal_title:Journal of endodontics
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journal_title:Journal of endodontics
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journal_title:Journal of endodontics
pub_type: 杂志文章
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journal_title:Journal of endodontics
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journal_title:Journal of endodontics
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更新日期:1995-07-01 00:00:00
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pub_type: 杂志文章,随机对照试验
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更新日期:2011-12-01 00:00:00
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journal_title:Journal of endodontics
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更新日期:2016-02-01 00:00:00
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journal_title:Journal of endodontics
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更新日期:2019-02-01 00:00:00
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journal_title:Journal of endodontics
pub_type: 杂志文章,评审
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更新日期:2007-06-01 00:00:00
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pub_type: 杂志文章
doi:10.1016/j.joen.2009.03.005
更新日期:2009-06-01 00:00:00
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journal_title:Journal of endodontics
pub_type: 杂志文章
doi:10.1016/j.joen.2014.02.028
更新日期:2014-10-01 00:00:00
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journal_title:Journal of endodontics
pub_type: 杂志文章
doi:10.1016/S0099-2399(98)80077-0
更新日期:1998-08-01 00:00:00
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journal_title:Journal of endodontics
pub_type: 杂志文章,随机对照试验
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更新日期:2012-08-01 00:00:00
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journal_title:Journal of endodontics
pub_type: 杂志文章
doi:10.1016/j.joen.2011.09.030
更新日期:2012-01-01 00:00:00
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journal_title:Journal of endodontics
pub_type: 杂志文章
doi:10.1016/j.joen.2010.08.026
更新日期:2010-11-01 00:00:00
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pub_type: 杂志文章
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更新日期:1991-05-01 00:00:00