Failure of Endo Tx

tihema.nicol
Mind Map by tihema.nicol, updated more than 1 year ago
tihema.nicol
Created by tihema.nicol over 6 years ago
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Possible reasons for the failure of regular endodontic treatment
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Resource summary

Failure of Endo Tx
1 Persistant Pathology
1.1 Intraradicular Infection
1.1.1 Inadequate RCT
1.1.2 IRCT + iatr altered RC morph
1.1.3 Inaccessible Areas
1.2 Extraradicular Infection
1.2.1 Acute Periapical Cyst 5-6%
1.2.2 Periapical Granuloma 23%
1.2.3 Chronic Apical Periodontitis 54%
1.3 Pathology
1.3.1 Foreign Body
1.3.2 Missed Canal
1.3.3 Vertical Root Fracture
1.3.4 Coronal Leakage
1.3.5 Resistant Bacteria
2 Surgical Procedures
2.1 Apicectomy
2.2 Incision + Drainage
2.3 Biopsy
2.4 Perforation Repair
2.5 Intentional Replantation
2.6 Surgical Extrusion
2.7 Root Resection
2.8 Tooth Resection
3 Apicectomy Rationale
3.1 Removal of
3.1.1 Pathogenic Processes
3.1.1.1 Cysts, Granu's
3.1.1.2 Foreign Material
3.1.1.3 Fractured Apex
3.1.2 Anatomic Variations
3.1.2.1 Deltas
3.1.2.2 Accessory canals
3.1.2.3 Lat Canals
3.1.2.4 Calcifications
3.1.3 Iatrogenic Errors
3.1.3.1 Zips
3.1.3.2 Ledges
3.1.3.3 Perforation
3.1.3.4 Blockage
3.1.3.5 Separatd Intrumnts
4 Obstacles to Retreatment
4.1 Sep Instruments
4.2 Obliteration
4.3 Ledge
4.4 Diverging RCS
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