The Authentic ‘’V’’ Flap for Surgical Endodontic Treatment of Periapical Chronic Diseases
نویسندگان
چکیده
Adresa za dopisivanje Marina Kacarska DMD University Dental Clinical Center ”St. Pantelejmon”, Skopje Ivan Kozarov 24,II/13, 1000 Skopje [email protected] Sažetak Svrha ovog istraživanja jest predstaviti i ocijeniti originalni režanj u „V“ obliku kojim se liječnici koriste za kirurško-endodontsko zbrinjavanje kroničnoga periapikalnog procesa. Sudjelovalo je 55 pacijenata dobroga općeg zdravlja. Svi su upućeni u Zavod za oralnu kirurgiju zbog endodontsko-kirurškog zbrinjavanja maksilarnih zuba. „V“ režanj se primijenio u svim slučajevima. Kirurška tehnika je zasebno opisana. Svako kirurško polje provjereno je nekoliko puta tijekom postupka. Klinički intraoperativni i postoperativni nalazi govore u prilog individualnosti vestibularnog „V“ režnja kod endodontsko-kiruških zbrinjavanja kroničnih periapikalniih procesa. Postupak je jednostavan, što je pridonijelo atraumatskoj retrakciji s dostatnom krvnom opskrbljenošću te repoziciji režnja sa samo nekoliko šavova. Čak i bez premedikacije, oko 65,4 posto pacijenata nije osjećalo bolove. Blaga oteklina kirurškog polja bila je prisutna u svim slučajevima. Cijeljenje je bilo potpuno, bez znakova retrakcije i dehiscijencije. Ključne riječi periapeksne bolesti; oralna kirurgija; kirurški režanj Sveučilišni stomatološki centar ”St. Pantelejmon”, Skopje, Macedonija University Dental Clinical Center ”St. Pantelejmon”, Skopje, Macedonia
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