Apicoectomy after 8 years

117 Rating(s).


Posted on 07.14.2015 05:54 AM By Jorge Campos In Bone Grafting

Hi, today a follow up (8 years) came to office. Xrays and pics of control. I´m showing the difference of incision design and sutures of nowadays apicoectomies.
My protocoll is:
Horizontal incision on mucosa.
(I found that horizontal makes vascularization improvement on the site)
Clean and local antibiotics, Lincomicine 4 minutes, Povidona, 4 minutes, and biomaterial + PRF. Sometimes membrane. 6.0 sutures horizontal matress.
Comments on protocol? Do you differ from this?
Regards.
Jorge





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9 Comments

Actual incision design and suture.
Case 1


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Actual Incision design and suture
Case 2


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Final pic, case 2


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Jorge, good issues for discussion. Incision on adherent gingiva seemed to give andvantages in terms of healing without scars. I notice that you do apicoectomy with no retro-filling: is this procedure not necessary on your opinion? Results seem successful. Thanks for sharing cases. Armando


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Jorge.
I like your incision and flap design very much. However, I ( and the literature) don't find the apicoectmy success rate to much better than 50% w/wo retro fill. Looks like you won the "coin toss" twice in this case. Do you think your surgical approach improves the odds? Nice result. Thank you for sharing. Chuck.


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Hi Chuck, this incision design for me has a lot of advantages when we talk about healling. When you compare flaps with vertical discharges...there is a blue cianotic color that you don´t see here.
My success rate, is much better than 50 %. May be 55% :-))
Ha, ha. I think that more than 80% (want to be humble)
This procedures are very related to Operator.
The same happens with Schneiderian tear. My rate is lower than 10%...because of my technic, and practice.
In all those estadistics the learning curve plays a role.
Regards my friend.
Jorge


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Armando, may be retrofilling help to control infection, but...if there is infection, I do not believe it will help.
I prefer to redo the Root treatment canal.
Thanks for comenting.
Jorge


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Well done my friend. Beautiful surgery. Mo


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Thanks Mo, the patient came today and is very happy!
Jorge


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