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Treatment of Apical Periodontitis - a new approach

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Uploaded by on Mar 18, 2009

The Apexum procedure is a new approach for treating periapical lesions. It is designed as a complementary step after standard root canal treatment.

Periapical lesions are found in 20-60% of all dental patients At present, Periapical lesions are treated by conventional root-canal treatment only, without directly addressing the issue of the lesions, specifically.

Clinical studies show that the bony crypt heals much faster when using the Apexum Procedure than after standard root canal treatment, alone.

As published in the Journal of Endodontics, the studies demonstrated that using the Apexum Procedure in conjunction with standard root canal treatment resulted in 95% healing of periapical lesions within 6 months -- a result unattainable with standard root canal treatment, alone.

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  • that guys voice is cool. lol

  • This procedure makes the healing process faster and it is not necessary. All periapical lesions heal after the root canal. it is just a matter of time.

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  • I am a final year student to...in Romania.Here we are allowed to work on patients under direct supervision and working on RCT i have learned:1. a correct and complete treatment does wonders:) 2.upper molars are bitches to treat 3.if tooth has periapical lesions RTC, if tooth has periapical and periodontal L then RTC+scaling and root planing, if one root can be treated then hemisection..and save the other root 4.extraction for the patients that are uncooperative:)) u know what i mean

  • Wow, this reminds me of the bad old days of Dental School.

  • @sachifernando532 You gotta be kidding me - do they seriously teach you this in Australia? Yes, RCT is by no means easy, but most of the time it works for many years. I'm from Czechia and I'm forced to do RCT really cheaply (~50AUD per root canal) - yet it is working, periapical lesions are healing and I wasn't forced to pull out single tooth I've treated in years. Buy Reciproc (WaveOne), RCTs are easier with them and keep studying. For god sake I hope not all australian dentists share your POV

  • I fail to see the point in risking any more instrument fractures by rotating NiTi-filaments at 8000rpm periapically - for what purpose? Liquifying and sucking out a granuloma under massive pain instead of counting on a succesful endodontic elemination of its source and letting nature do the rest, seems a little bit overdoing it. That's an "Attaboy" to our US-collegues! Greetings from Germany

  • @sachifernando532

    ok thanks :)

  • what happens if the periapical lesion is not a granuloma ? How can you be sure it's a granuloma and not something else ? I mean it could be dangerous ...

  • @e30m3drift : Im a final year dental student in australia. From my limited experience and understanding removing the tooth then cleaning out the empty socket gives a more predictable result. Root canal treatment is costly, and theres so much more procedural error and complications from it. A root canal is the last step before tooth needs to go out.

  • this look really painful

  • No point! Apical lesions are inflammatory and resolve after accurate RCT. The risk is definitely not worth the risk.

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