Apicoectomy

Paper Summary:

The paper describes endodontic surgery, or apicoectomy, a procedure that is commonly used after a root canal procedure has failed or in situations where the benefits of undergoing an apicoectomy outweighs a root canal. The paper outlines the criteria involved in the decision to advise a patient to undergo an apicoectomy and relates the factors that are considered before a patient is actually allowed to have an apicoectomy. The paper then explains the prognosis of the procedure that is based on several factors.

From the Paper:

"It was not so long a distant past that the most common management of a toothache was a tooth extraction. There have been a number of people that have lost vital teeth because it seemed that a tooth extraction was the only way. Some who did not enjoy being given a choice over the fate of their teeth were left to live with dentures for the rest of their lives. These days, the modern advancement in dentistry has allowed people suffering from a simple toothache to maintain their smiles. Endodontics is a branch of dentistry that involves management of diseases of the dental pulp and its supporting structures. These structures include the dental pulp or nerve, enamel, and dentin. These disorders may include cavities caused by tooth decay, pulpitis, periapical abscess, impacted teeth, and malocclusion (Porter, Kaplan, Homeier, and Beers, 2003)."

Sample of Sources Used:

• Aetna Dental Plans. Apicoectomy. 28 Aug. 2005. 18 Mar. 2008. <http://www.simplestepsdental.com/SS/ihtSS/r.EMIHC252/st.32226/t.29811/pr.3.html>.
• De Almeida-Gomez, F., Carvalho-Sousa, B., Furtado-Leite, M.C., dos Santos, R.A., and Maniglia-Ferreira, C. "Effectiveness of Single-Versus Multiple-Visit Endodontic Treatment of Two Mandibular Central Incisors from the Same Patient." Australian Society of Endodontology. 2007.
• Porter, R.S., Kaplan, J.L., Homeier, B.P., and Beers, M.H. Merck Manuals Online Medical Library for Healthcare Professionals. NJ: Merck & Co. 2003.
• Pothukuchi, K. "Case Assessment and Treatment Planning: What Governs Your Decision to Treat, Refer or Replace a Tooth that Potentially Requires Endodontic Treatment?" Australian Society of Endodontology, 32: 79-84, 2006.
• Stock, C.J.R., Walker, R.T., Gulabivala, K., and Goodman, J. Endodontics. St Louis: Elsevier Science Health Science Division. 2004.

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