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ENDODONTICMICROBIOLOGY
DR NYCIL PAUL
Dept. of Conservative Dentistry and Endodontis
A.!. Instit"te of Denta# $ienes
0
7/26/2019 Endodontic Surgeries
2/75
TOOT%REPLANTATION
DR NYCIL PAUL
Dept. of Conservative Dentistry and Endodontis
A.!. Instit"te of Denta# $ienes
1
7/26/2019 Endodontic Surgeries
3/75
GERIATRICENDODONTIC$
DR NYCIL PAUL
Dept. of Conservative Dentistry and Endodontis
A.!. Instit"te of Denta# $ienes
2
7/26/2019 Endodontic Surgeries
4/75
MANAGEMENT O&
DI$COLOURED TOOT%
DR NYCIL PAUL
Dept. of Conservative Dentistry and Endodontis
A.!. Instit"te of Denta# $ienes
3
7/26/2019 Endodontic Surgeries
5/75
$YNCOPE
DR NYCIL PAUL
Dept. of Conservative Dentistry and Endodontis
A.!. Instit"te of Denta# $ienes
4
7/26/2019 Endodontic Surgeries
6/75
I$OLATION '
IN$TRUMENT$ AND
TEC%NI(UE
DR. DILU DA)I$
Dept. of Conservative Dentistry and Endodontis
A.!. Instit"te of Denta# $ienes
5
7/26/2019 Endodontic Surgeries
7/75
DENTAL
AMALGAM
DR. DILU DA)I$
Dept. of Conservative Dentistry and Endodontis
A.!. Instit"te of Denta# $ienes
6
7/26/2019 Endodontic Surgeries
8/75
$PEED$ IN
DENTI$TRY
DR. DILU DA)I$
Dept. of Conservative Dentistry and Endodontis
A.!. Instit"te of Denta# $ienes
7
7/26/2019 Endodontic Surgeries
9/75
MERCURY
TO*ICITY
DR. DILU DA)I$
Dept. of Conservative Dentistry and EndodontisA.!. Instit"te of Denta# $ienes
8
7/26/2019 Endodontic Surgeries
10/75
ROOT CANAL
IRRIGANT$
DR. DILU DA)I$
Dept. of Conservative Dentistry and Endodontis
A.!. Instit"te of Denta# $ienes
9
7/26/2019 Endodontic Surgeries
11/75
ENDODONTIC
$URGERY
DR. DILU DA)I$
Dept. of Conservative Dentistry and EndodontisA.!. Instit"te of Denta# $ienes
10
7/26/2019 Endodontic Surgeries
12/75
CONTENT$
INTRODUCTION
HISTORY
INDICATION CONTRAINDICATION
o LOCAL CONSIDERATION
o SYSTEMIC CONSIDERATION
PHARMACOLOGIC CONSIDERATION
MANAGEMENT OF MEDICALLY COMPROMISED PATIENTS
CLASSIFICATION OF SURGICAL ENDODONTICS
o ACCORDING TO INGLE
o ACCORDING TO COHEN
o ACCORDING TO GUTTMAN
BASIC STEPS IN ENDODONTIC SURGERY
o INCISION
RULES FOR INCISION FLAP DESIGNS
o FLAP REFLECTION
o FLAP RETRACTION
o OSTEOTOMY
o PERIRADICULAR CURETTAGE
o APICECTOMY
o FLAP CLOSURE
PERIRADICULAR SURGERY
o PERIRADICULAR CURETTAGE
o ROOT END RESECTION
o ROOT END FILLING
FISTULATIVE SURGERYo INCISION AND DRAINAGE
o CORTICAL TREPHINATION
o DECOMPRESSION
CORRECTIVE SURGERY
o PERFORATION REPAIR
MECHANICAL
RESORPTIVE CARIOUS
o PERIODONTAL REPAIR
GUIDED TISSUE REGENERATION
ROOT RESECTION ROOT AMPUTATION
HEMISECTION
SURGICAL CORRECTION OF RADICULAR LINGUAL GROOVE CONTROL OF HAEMORRHAGE
o LOCAL
o SYSTEMIC
SUTURE MATERIALS
POST!OPERATIVE INSTRUCTION
REPLACEMENT SURGERY
o INTENTIONAL REPLANTATION
IMPLANT SURGERY
o ROOT FORM OSSEOINTEGRATED IMPLANTS
o ENDODONTIC IMPLANTS
o ENDOOSSEOUS IMPLANTS
TRANSPLANTATION CAUSES OF FAILURE IN ENDODONTIC SURGERY
11
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CONCLUSION
REFERENCES
12
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! A$%$+%#. " +"(. $%%- #" /"(#$( #' +"(' *$# ,$#'*$%
! V"%,' " +"(' *''('*$#"( ('/'--$*.
! S"# #--' $$%$+%' "* /%"-*'
! E?)'*'(/' " #' ")'*$#"*
ENDODONTIC IMPLANT$
Definition '
I- $ ,'#$%%/ '?#'(-"( " #' *""# # #' "+'/# " (/*'$-( #' *""#!
#"!/*"( *$#" #" ' #' #""# +'##'* -#$+%#. ( #' $*/
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Indiations '
1 T*$(-'*-' *""# *$/#*'
2 I(#'*($% *'-"*)#"( ("%( $)'?
3 P$#"%"/ *'-"*)#"( ("%( $)'?
4 P'*"&"(#$%%. '$> #""#
5 '( #'*' - %'-- *""# %'(# /",)$*'& #" /*"(
Contraindiations '
1 R'/'(#%. '*)#'& #""#
2 I,)$/#'& #''#
3 C.-##,"*- " ,$?%%$ $(& ,$(&+%'
4 C",)%'#' %($% -)(. *&'
5 C$*/(",$ " "*$% #--'-
6 D* $&&/#"(-
7 O( "( *$&$#"( #'*$).
8 E?#'(-' ('*$%/ &-'$-'-
9 P*'($(/.
10A%/""%-,
11 B%""& &-'$-'-
P*"/'&*'
T' '),'(# (''&'& "* '(&"&"(#/ ,)%$(#$#"( - #' -$,' $- "*
'(&"&"(#/ #*'$#,'(# # #' $&"( " $ -'*'- " '?#*$!%"( *'$,'*- 40,, ( -''(#$% -='- $(& ,)%$(#- " /"**'-)"(&( -='
F*-# $('-#'#=' #' #""# $(& ("%'& $*'$ # $ %"/$% $('-#'#/
N'?# # #' *++'* &$, ( )%$/' $-')#/$%%. /",)%'#' #' -$% #*'$#,'(# "
$//'-- )*')$*$#"( '(%$*','(# $(& **$#"( " #' *""# /$($% T' $//'--
)*')$*$#"( -"%& &'* *", #' -$% ( #$# # ,-# +' %$*'* $(& &'* (
#' /%(/$% /*"( #" $//",,"&$#' #' )%$/','(# " $ *& ,)%$(# #$#*'*'- J-#*$#!%(' (-'*#"( (#" #' /$($% I( $&"( #' *""# /$($% ,-#
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+' '(%$*'& #" $# %'$-# #' -=' " $ N"60 (-#*,'(# I( $ #""# # ,%#)%'
/$($%- "* $( $)/$% *""# /*$#*' #' /$($%- -"%& +' %%'& $(& -'$%'& #
##$ )'*/$ $(& /','(# ( #' -$% ,$(('*
U(%%'& /$($%- "* $ )$*#$%%. (%%'& /$($% ( $ /*'& *""# #) $-
"//*- # )'('#*$#"( " #' "--'"- %$.'* "*, #' *""# /$($% ( $ J-#*$#
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*$*'$/#"(
A ,$*>'* - #'( -'# "( #' 40 ,, *'$,'*- $# $ %''% '$%'(# #" #'
%'(# " #' #""# )%- #' (,+'* " ,%%,'#'*- #' ,)%$(# %% '?#'(&
+'."(& #' *""# $)'? T' *-# 40 ,, *'$,'* -'& #" )'*"*$#' #' *""# $)'?
-"%& +' -''*$% -='- -,$%%'* #$( #' %$-# -='& (-#*,'(# -'& #" /",)%'#'
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%'$-# '$%'(# ( -=' #" #' %$-# '(&"&"(#/ (-#*,'(# -'& ( #' *""# /$($%
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$('-#'#/ -"%#"( "* -#'*%' -$%(' -"%#"( *$#'* #$( -"&, .)"/%"*#'
/ /$( **#$#' #' )'*$)/$% #--' I**$#"( " #' /$($%- &'+*&'- $- '%%
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*""# $(& +"(' T' ,)%$(# ,-# # ##%. $(& ,-# )'('#*$#' #' +"(' #" #'
)*')$*'& %'(# I ('/'--$*. '(%$*' #' *""# /$($% $ %##%' ,"*' #"
$//",,"&$#' #' ,)%$(# +# #' ,)%$(# ,-# # $# #' $)/$% "*$,'( D*.
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#$# %% -'$# -(%. $(& %% ("# +(& ( #' /# "--'"- +'& I(-'*# $ )%'*
(#" #' $//'-- ")'(( (#% # +(&- $(& ,'$-*' #' '?$/# %'(# # /$( +'
(-'*#'& (,)'&'& (#" #' /$($% T- )%'* %% +' -'& #" -'$# #'
,)%$(# &*( /','(#$#"( +'/$-' #' +## '(& " $ V#$%%, "* /*",'
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/"+$%# ,)%$(# ,-# +' /# " )*"* #" (-'*#"( (#" #' #""# +'/$-' " #'
$*&('-- " #' ,'#$%
U-( $ &$,"(& "* /$*+"*(&, &-/ /# #' +## '(& " #' ##'&
,)%$(# $(& *',"' $ %'(# '$%'(# #" #$# ,'$-*','(# "+#$('& +.
(-'*#( #' )%'* +%$&' (#" #' *""# $($% I(-'*# /','(# (#" #' &*'& /$($%
;G*"--,$( -'-#- $ )"%./$*+"?.%$#' /','(# F*$(> -'-#- AH 26 /','(#
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1< I('/#'& &'(#($% #+%'- $(& -*/$% -#'
2< A(#+"#/-
3< A//'--"*. $(& %$#'*$% /$($%-
4< L"-- " $%'"%$* +"(' T' %"-- " $%'"%$* +"(' '-)'/$%%. #' +//$%
/"*#/$% )%$#' $- +''( -"( #" *'(&'* $ )""* )"-#")'*$#' )*"("--
"%%"( )'**$&/%$* -*'*.
5< R""# *'-"*)#"(
6< T,( " *""# /$($% "+#*$#"( A%$.- )# ( #' *""# %%( *-#
+'/$-' ." /# " #' *""# #) *-# # %% +' &/%# #" ,$>' $
-//'--% *""# %%( +# ." %% #' *""# /$($% *-# $(& #'( /# "
#' *""# #) ." %% '$' $ /%'$( "$% -*$/' O( #' "#'* $(& $
+'##'* )*"("-- $- +''( &'(#'& +. ,$(. $#"*- '( #' *""# -
%%'& )*"* #" -*'*. S#&'- /"(&/#'& -( %#*$-"(/- "* /$($%
&'+*&','(# &*( -*/$% #*'$#,'(# $' -"( $ *'$#'* *'&/#"( (
+$/#'*$% )")%$#"(-
Anatoi &ators '
1< F'('-#*$#"( : D'-/'(/'
2< A+'**$(# *""# $($#",. "* /$($% -)$/'
3< R""# )*"?,#. ( #' $%'"%$* +"('
4< M$?%%$*. -(-
5< F"/$% ,."-#-
6< L"-- " "--'"- -#*/#*'
Te+nia# &ators '1< $%#. " /$($% /%'$(( $(& "+#*$#"(
2< $%#. " *""# '(& *'-'/#"(
$< R""# $)/'- / $*' ("# /",)%'#'%. *'-'/#'& '?+#( $
-,""# %$# *""# $/' ,$. -'*' $- $ -"*/' " **#$#"( #" #'
-**"(&( )'**$&/%$* #--'-
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+< R""#- "* *""# -.-#',- ("# /",)%'#'%. *'-'/#'& *", +//$% #"
%($% ,$. &' "+-/*' *""#- /$($%- /$($% '?#'(-"(-
$($-#","-'- "* /"*"($% /$($% '?#(
/< E?#'(-' *'-'/#"(- #"# *'$*& "* $&$/'(# #''# ,$. /$-'
(''&%'-- )%) &'#$%=$#"( "* &$,$' #" $&$/'(# *""# -#*/#*'
*'-%#( ( )"--+%' *'-"*)#' &''/#-
3< $%#. " *""# '(& /$#. )*')$*$#"(
$< F$%*' #" (/%&' $( -#,- "* )"*#"( " $ /$($% '?#'(-"( (
#' )*')$*$#"(
+< F$%*' #" $/'' $ ,(,, "* &'$% &')# " /$#. )*')$*$#"(
+$-'& )"( #' )$*#/%$* $($#",/ -#$#"(
/< L$/> " *'#'(#"( ( #' *""# '(& )*')$*$#"(
&< A )$%$#$% %($% "* %$#'*$% )'*"*$#"( " #' *""#
'< C""-( $( ,)*")'* /$#. )*')$*$#"( &'-( "* $ )$*#/%$*
*""# $($#",. #"# /"(-&'*( $%% #' $($#",/ $/#"*- ' $
%"( $?- )*')$*'& ( $ &'')%. )%$#$%%. )%$/'& *""# " $ ,$?%%$*.
*-# )*',"%$* "* $ -%"# )*')$*$#"( '( #' +//$% /*.-#$% +"('
- $%*'$&. /",)*",-'& $(&
< I($&'*#'(# )*')$*$#"(- " $ /$#. ( +"(' / *'-',+%'- *""#
-#*/#*'
("a#ity of t+e Root End &i##in- Materia#s and Te+ni6"es '1< P""* $&$)#$#"( $(& /"(&'(-$#"(
2< T' +"%"/ +*'$>&"( " *""# '(& %%( ,$#'*$%-
3< E?/'-- ,$#'*$% %'# ( #' -*/$% -#' '#'* $- "'*$(-
"'*/"(#"*- "* -/$##'*'& &'+*- $- $%-" +''( ,)%/$#'& ( /$-'
$%*'
4< C.#"#"?/ *""# %%( ,$#'*$%- / $' +''( '?)*'--'& +'."(& #'
$)'? "* / $*' %'# "* )%$/'& - #' *""# '(& %%( ,$#'*$% /$( /$-'
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&$,$' #" #' -**"(&( #$% -#*/#*'- ;$(#*, $%'"%$* ('*'< $(&
)'**$&/%$* -*'*. %% ($*$+%. ("# +' $+%' #" /"**'/# #' &$,$'
+'/$-' " #' **''*-+%' #--' &'-#*/#"(
Iproper $oft Tiss"e Mana-eent '
F$%*'- ( )'**$&/%$* -*'*. /$( $%-" +' $##*+#'& #" ,)*")'* %$)
&'-( #--' *'%'/#"( *'#*$/#"( $(& *')"-#"(( $(& -#*(
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CONCLUSION
I,)*"','(# ( /"('(#"($% #'*$). ( %$-# 5!10 .'$*- $- &*$,$#/$%%.
*'&/'& #' (,+'* " /$-'- *'*( -*'*. T- $/# ,-# +' $##*+#'& #"
+'##'* '(&"&"(#/ (-#*,'(#- $(& ,$#'*$%- (/*'$-'& >("%'&' " /$($%
$($#",. *'(','(# " ")'*$#' ->%%- $(& $&&'& (&'*-#$(&( " +$-/
,'&/$% -/'(/'-
Y'# ''( # #' ,)*"','(# #'*' -#%% '?-# $ (''& "* -*/$%
)*"/'&*'- #" ,$($' )*"+%',- #$# /$(("# +' '%,($#'& +. ("(!-*/$%
#'/('
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