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osteotomy with
repositioning of the
vestibular cortical in
periapical surgery of
mandibular molars: A
Berta Garca-Mira , Barbara Ortega-Snchez ,
preliminary
study
Maria Penarrocha-Diago , Miguel Penarrocha Diago
Med Oral Patol Oral Cir Bucal. 2010 Jul 1;15 (4):e628-32
Introduction
Two groups
Surgical procedure
Pre op
Follow up
Osteoctomy
Intra op
Pre op
Osteoto
my
Intra op
Intra op root end filling Radiograph following surgery Post-op after 12 month
Data collection
less than 1 cm2, between 1 and 2 cm2, and greater than 2 cm2.
Swelling recorded as
Results
No of
patient
No of
lesions
No of
teeth
Size
<1c
m
Ostectomy
66
Osteotomy
1-2cm >2cm
98
78
49
44
5
-
Ostecto
my
12 months
Failure
No of
functio
nal
tooth
succes Improve
s
ment
Failur
e
27.9
( n = 22)
13.1
73
(n=10
)
34.6
(n =
27)
46.1
19.3
(n = 36) (n =
15)
59.0
Osteoto
my
33.3
(n=
3)
55.6
(n = 5)
55.6
(n =
5)
33.3
(n = 3)
11.1
( n=1
)
Over all
34.5
(n
=30)
46.0
19.5
(n = 40) (n=17)
58.4
(n
=51)
29.0
(n = 25)
12.6
(n
=11)
82
11.1
(n =1)
(n=46
)
Postoperative complications
5 patient with hematoma (all in G1),
3 patients with suture dehiscence (2 in G1 and 1
inG2).
1 patient had a postoperative infection(in G1)
1 patient had a transitory mental neuropathy (In
G1).
There was no relationship between postoperative
complications and prognosis in PS (p>0.05).
Discussion
References
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Thank
you