Apexum procedure in endodontics.pptx babe

Apexum procedure in endodontics.pptx babe

1. Apexum Procedure ELDHO GEORGE JR3

2. INTRODUCTION

3. Historical background

4. Microbiology of apical Periodontitis

5. Various treatment modalities available for treating apical Periodontitis Conservative root canal treatment without adjunctive therapy Decompression Technique Active nonsurgical decompression technique Aspiration and irrigation technique Aspiration through the root canal technique Method using calcium hydroxide Apexum procedure

6. Conservative root canal treatment without adjunctive therapy Bhaskar, 1972

7. Decompression Technique

8. Active nonsurgical decompression technique

9. Aspiration and irrigation technique

10. Aspiration through the root canal technique Aspiration of the cystic fluid is done through the root canal Canal anatomy can prevents the process

11. Not be favorable in narrow-rooted teeth. Adjacent tissue spaces or sinus cavities Infected periapical lesions

12. Method using calcium hydroxide Souza et al., Suggested that the action of calcium hydroxide beyond the apex may be four-fold: (a) anti-inflammatory, (B) neutralization of acid products, (c) activation of the alkaline phosphatase, and (d) antibacterial action A success rate of 80.8 ( çalişkan and şen , 1996) and 73.8% ( çalişkan , 2004)

13. Apexum Procedure

14. APEXUM DEVICES

15. How the Apexum Procedure is done?

16. Advantages Removal and debulking of periapical lesions without using scalpels Minimal invasive technique. Removes chronically inflamed periapical lesions Overcome the drawbacks of the conventional surgical procedure. Enhanced healing kinetics No events of severe postoperative pain or swelling Gentle on patient wellbeing. D oes not require surgical skills. The Apexum procedure is more likely to eliminate bacterial biofilm

17. Disadvantages Insertion of the endodontic instruments far beyond the apical foramen should be avoided Widening of the apical foramen can lead to softened guttapercha extruding beyond the apex. Management of procedural errors (instrument separation) is a matter of concern

18. Indications CHRONIC APICAL PERIODONTITIS As a supplement to conventional RCT with periapical lesion ( David Shamah , 2008 ).

19. Clinical applications in Endodontics

20. The apical constriction and foramen Bacterial biofilms Foramen become wider Apical resorption Current nickel-titanium rotary systems Limit the instrumentation

21. DISCUSSION Insertion of an endodontic instrument far beyond the apical foramen should be avoided Apexum procedure is substantially different from simple over instrumentation Removal of all periapical inflammatory tissue with apexum is doubtful

22. Created conditions that allowed for faster healing of the lesions ‘Removal or debulking’ was chosen to describe the mechanical effect of the apexum procedure on the peri- apical tissues.

23. CONCLUSION Apexum (minimally invasive procedure) resulted in significantly less postoperative discomfort Faster periapical healing Enhance healing kinetics with no adverse events.

24. REFERENCES Apexum : The magic wand in endodontics”, Dr. Prem Prakash et alInternational Journal of Current Research,International Journal of Current Research, 8, (03), 27527-27531 Apexum : A Minimum Invasive Procedure ,Deepak Raisingani et al International Journal of Clinical Pediatric Dentistry, September-December 2011;4(3):224-227 Healing Kinetics of Periapical Lesions Enhanced by the Apexum Procedure: A Clinical Trial Zvi Metzger et al JOE — Volume 35, Number 2, February 2009