CHIRURGICAL INTERVENTIONS
The chirurgical interventions concern:
a) The chirurgical exports of teeth and roots. |
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b) The chirurgical exports close and semi close teeth. |
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g) The abstraction top root sac. |
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[d] Apisectomy. |
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e) the additivee chirurgical interventions. |
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A) CHIRURGICAL EXPORTS OF TEETH AND ROOTS
The chirurgical export is the method with which is removed a tooth after the creation [krimnoy] and the abstraction of part of environment of bone. This method is relatively simple and fast, without it pesters the patient, provided that however they are observed dance floor the rules that condition the basic chirurgical technique.
The main clues of chirurgical export are:
1) teeth that present extraordinary morphology of roots or have intensely [kekammena] [akrorrizia]. In this case the chirurgical export becomes preventively in order to they are avoided concrete undesirable [symbamata] (fracture of root or [akrorrizioy], fracture of alveolar bone Mr a). |
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2) Teeth with dental malformations (eg .dens in dent) or with pricked roots. |
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3) Closed and semi closed teeth. The chirurgical technique that is followed is proportional with the localization and the press the semi closed or closed tooth (it is reported below in the corresponding paragraph). |
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4) Teeth that are found in fusion with the adjacent tooth or teeth that present fusion with adjacent in their region [akrorrizion]. |
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5) Broken [akrorrizia] that have remained in to bone or even are found in such place that can prevent the future manufacture of additive work. |
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her 6) Rear teeth of up] jawbone between the roots which exists dive of semi closed man of, in order to is avoided the danger of jaw fracture camber, that can be caused with the exercise of big force at the simple export of teeth, because the weak resistance of bone in the region. |
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7) Roots that are found under the level of ga and are impossible they are removed with other way. |
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8) Roots with big [periakrorrizikes] alterations that it is impossible they are removed only with [kochliario] [apoxeseos]. |
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9) [Neogiloi] grinders that the roots of surround closely the successor permanent. |
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10) Rear teeth with [yperekfysi], in order to is achieved also the chirurgical regularization swept along alveolar [akrolofias] in same congress |
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B) CHIRURGICAL EXPORTS CLOSED AND
SEMI CLOSED OF TEETH
Between the chirurgical interventions that are held in the oral cavity, the first place from opinion of frequency occupy the chirurgical exports closed] and semi closed teeth and mainly [sofronistiron]. The export of these teeth, depending on their localization, can be from simple up to very difficult and laborious process. Independent however from the degree of difficulty of intervention, important role for her success have the right preperating estimate and designing, as well as the way of better confrontation of difficulties as [symbamaton] that results probably at her duration, or even the complications that can continue. For this aim they are considered essentially: a) the background of patient (for likely diseases that can influence the intervention, eg haemorrhagic disposal,] diabetes
a) in detail clinical examination, with which is realized the degree of difficulty or facility of access and is examined the adjacent teeth and the competitors in order to is safeguarded at the intervention their integrity and |
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b) the radian control of region, which provides for us the all essential information on the right planning and the designing of intervention. Still via the radiographs, becomes acquaintance the place of interment as well as the relation of tooth with the neighbouring anatomic elements. |
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Clues of export closed and semi closed teeth
1) [Peristefanitida], that is to say inflammation in the region of mainly semi closed [sofronistiron] down jawbone which can to turn out very painful for the patients. |
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2) Reject of growth of decay in neighbouring tooth (because weakness of maintenance of right oral hygiene). |
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3) Restriction of loss of bone that surrounds the neighbouring tooth, which can happen because the continuous absorption because of the closed tooth. |
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4) Reject of hindrance of application partial or total denture. |
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5) Hindrance of deformity of physiologic anatomy of permanent teeth because of the existence of supernumerary teeth which impedes the east of permanent. |
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6) Prevention for reject of orthodontics of abnormality. |
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7) Export of teeth that participate in pathological situations of jawbones, eg cystic alterations. |
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8) Export of teeth that cause absorption of roots of adjacent teeth. |
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Suitable time for the abstraction
Closed and semi closed teeth
The more suitable time is the young age, because are avoided the complications and undesirable situations that can to turn out heavier with the byway of years. Still, the individuals of young age face better the process and the stresschirurgical intervention and present more rapid cicatrisation of lesion. This however in case does not mean that inadvisable the export of such teeth and in bigger ages.
G) ABSTRACTION [AKRORRIZIKON] BLADDER
[Akrorrizikes] [kysteis] they are pathological cavities that are invested internally with epithelium and contain fluid or semifluid liquid. They emanate from epithelial remains, which stimulate after inflammation in [akrorrizia] dead tooth.
For the chirurgical abstraction of bladder they are applied two techniques in the clinical practice:
A) the [ekpyrinisi], who consists in the complete abstraction of cystic bag and the cicatrisation at first aim after sewing the lesion. This technique can be applied in the all cases of bladder and it constitutes the most satisfactory confrontation.
B) the marsupiation, technique that is applied mainly in cases extensive bladder. In this case, the cicatrisation becomes with the transformation of epithelium of bladder in mucous the mouth.
[D]) [AKRORRIZEKTOMES]
[Akrorrizektomi] is the chirurgical cross-section of [akrorrizioy] tooth and his abstraction with the pathological [periakrorrizikoys] webs.
Clues [akrorrizektomis]
1) Teeth with [periakrorriziki] inflammation, which exists despite the satisfactory endodontic treatment. |
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2) Teeth with [periakrorriziki] inflammation and incomplete endodontic treatment, which cannot be repeated. |
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3) Teeth with [periakrorriziki] inflammation, in which is not possible the completion of endodontic treatment with the classic conservative technique. |
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Chirurgical technique
The process [akrorrizektomis] includes the following
stages:
1) Flap Planning.
2) Localization [akrorrizioy], her revelation [periakrorrizikis]
region and abstraction of pathological webs.
3) Cross-section of [akrorrizikoy] department of root.
4) Inversion obstruction, those who are essential.
5) Care and sewing the lesion.
Cicatrisation of region
The cicatrisation of [akrorrizikis] region is checked radiographic each 6-12 months, until is realized ossification of damage. In order to it can be appreciated the result, is essential a preparation radiograph, which will be compared later with surgical |
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E) ADDITIVE CHIRURGICAL
Additive chirurgical concerns interventions that aim in the obliteration of certain damage or abnormalities hard and effeminate webs of jawbones, so that is successful the [en] continuity placement of various additive re-establishments.
Damage or abnormalities of hard webs
The abnormalities that are related with the hard webs are distinguished in:
a) those that are regularized with socket plastic immediately afterwards the export of teeth (spikes, bones ledges), or that is located and regulated in alveolar [akrolofia] and |
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b) relatives abnormalities, as torus palatinus, torus mandibularis, multiple [exostoseis]. |
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The regulation of these abnormalities of is vital importance for the right application and the absolute functionalism and aesthetic the additive re-establishments as well as for the achievement of conditions that ensures the observation of right oral hygiene.
Damage or abnormalities of effeminate webs
Damage and this abnormalities are distinguished in two categories:
a) abnormalities congenital as they are overgrown brindles. |
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b) abnormalities that are created by the use of denture (eg [ptychoti] fibrillous hyperplasia of mucous) and by other reasons. |
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In this category of damages important place occupies resection of bridle,, which participates n creation] the conditions for the smooth application of dentures (mainly jaw but also for the successful orthodontics treatment of patients of small age. |
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SOURCE:
ORAL INTERVENTION - [FRAGKISKOS]
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