Dentistry

Micro-surgical endodontics

19^th American Dental Congress

December 08-10, 2016 Phoenix, USA

Arnaldo Castellucci

University of Naples-Federico II, Italy

Posters & Accepted Abstracts: Dentistry

Abstract:

In the last 15-20 years several important developments have been introduced in surgical endodontics such as the ultrasonic root end preparation, the surgical operating microscope and a new biocompatible material. The introduction of the ultrasonic root end preparation made possible to obtain what is defined as the ideal retro-preparation: a class 1 preparation at least 3 mm into the root dentin with walls parallel to a coincident with the anatomic outline of the pulpal space. In order to do this, special ultrasonic tips were developed to enable the clinician to reach every root in all clinical situations. The introduction of the surgical operating microscope represents another important development in surgical endodontics. The use of the surgical operating microscope has several advantages in surgical endodontics such as; better visualization of the surgical field and techniques, better accuracy during the entire procedure and better predictability of long term results. As far as the new materials are concerned, recently the Mineral Trioxide Aggregate became available. This is a revolutionary material, which is extremely biocompatible, is hydrophilic, and is capable of stimulating the healing processes and osteogenesis. Many studies have demonstrated the growth of cementum, periodontal ligament and bone adjacent to MTA when used to seal perforations as well as a retrofilling material in surgical endodontics. For all the abovementioned characteristics, MTA can be considered the material of choice in surgical endodontics.

Biography :

Email: castellucciarnaldo@gmail.com