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In the dental specialty of endodontics, periradicular surgery is surgery to the external root surface. Examples of periradicular surgery include apicoectomy , root resection , repair of root perforation or resorption defects, removal of broken fragments of the tooth or a filling material, and exploratory surgery to look for root fractures.
Surgical extractions involve the removal of teeth that cannot be easily accessed or removed via simple extraction, for example because they have broken under the gum or because they have not erupted fully, such as an impacted wisdom tooth. [2] Surgical extractions almost always require an incision.
Root resection or root amputation is a type of periradicular surgery in which an entire root of a multiroot tooth is removed. It contrasts with an apicoectomy, where only the tip of the root is removed, and hemisection, where a root and its overlying portion of the crown are separated from the rest of the tooth, and optionally removed.
The decision on how much decay to remove (whether to carry out the decay removal to firm dentine or stop when soft dentine has been reached) depends on the depth of the cavity (a filling needs to have a minimum thickness of material to remain strong); [2] and the possibility of reaching the tooth's pulp (the nerve is exposed sometimes when deep ...
Composites and amalgam are used mainly for direct restoration. Composites can be made of color matching the tooth, and the surface can be polished after the filling procedure has been completed. Amalgam fillings expand with age, possibly cracking the tooth and requiring repair and filling replacement, but chance of leakage of filling is less.
Guided bone regeneration (GBR) and guided tissue regeneration (GTR) are dental surgical procedures that use barrier membranes to direct the growth of new bone and gingival tissue at sites with insufficient volumes or dimensions of bone or gingiva for proper function, esthetics or prosthetic restoration. Guided bone regeneration typically refers ...
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