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Flashcards in Surgery Deck (54):
1

Tsesis 2006. Modern v. traditional surgery?

Retrospective study using 3 endodontists and 3 oral surgeons. Complete healing 91% of time with modern technique, 44% with traditional.

2

Who did a Retrospective study using 3 endodontists and 3 oral surgeons. Complete healing 91% of time with modern technique, 44% with traditional.

Tsesis 2006

3

Setzer, Kim 2010. Modern v. traditional surgery?

meta-analysis that traditional root end had a 59% positive outcome, and modern microsurgery a 94% positive outcome

4

Who did meta-analysis that traditional root end had a 59% positive outcome, and modern microsurgery a 94% positive outcome

Setzer, Kim 2010

5

Who said success rate does not go down significantly between 1 (91%) and and 4 (88%) years post microsurgery?

Song 2014

6

Song 2014 surgery outcome?

NSD in success rate 1 year after surgery (91%) versus 4 years after surgery (88%)

7

Who said pre-op chlorhexidine rinse decreases surface microorganisms and aids in healing?

Kim

8

Who said pre-op NSAIDS and long lasting local anesthetic decrease post-op pain?

Dionne

9

Messer 1987- what happens during periapical surgery?

Blood loss is similar to that of an extraction (9.5 mL)

10

Who said that blood loss during periapical surgery is similar to that of an extraction (9.5 mL)?

Messer, Selim 1987

11

Who said that using 1:50K epi LA during flap surgery resulted in half as much blood loss?

Buckley 1984 (journal of perio)

12

Buckley 1984 (journal of perio)

Using 1:50K epi LA during flap surgery resulted in half as much blood loss.

13

Baumgartner 2004

Using racemic epi during surgery provides excellent hemostasis and does not increase blood pressure or pulse rate (no cardiovascular effects).

14

Who showed that racemic epinephrine used during surgery provides excellent hemostasis and does not increase pulse rate or blood pressure (no cardiovascular effects).

Baumgartner 2004

15

Kim and Kratchman 2006 review article-apical ramifications

If you resect 3 mm, you remove 98% of apical ramifications and 93% of lateral canals

16

Who said in their review if you resect 3 mm, you remove 98% of apical ramifications and 93% of lateral canals.

Kim and Kratchman 2006

17

Who said that the papilla based incision leads to quick, virtually recession free healing?

Velvart 2004

18

Velvart 2004- how to get quick, recession free healing?

Papilla based incision

19

Who said horizontal flap design disturbs less blood vessels (which run perpendicular), but blood supply of flap is better when base is wider. Also, rectangular flap is better access than triangular

Velvart 2005 review

20

Velvart 2005 review flap design

Who said horizontal flap design disturbs less blood vessels (which run perpendicular), but blood supply of flap is better when base is wider. Also, rectangular flap is better access than triangular

21

Gilheany and Figdor 1994

Less leakage with shallower bevel and a retrofill of three mm.

22

Who said there is less leakage with a shallower bevel, and retrofill of 3 mm?

Gilheaney and Figdor 1994

23

Who said that vicryl (polygalactin) produces less inflammation than polypropylene, silk, or gut?

Becker

24

Who said It is not aways necessary to completely curette all inflamed periradicular tissue during surgery (if irritant can be identified and eliminated)

Lin and Langeland 1996

25

Kvist and Reit 2000

Maximum pain is the evening of the surgery. Maximum swelling is the first post-operative day.

26

Who said for periapical surgery that maximum pain is the evening of the surgery, and maximum swelling is the first post-op day?

Kvist and Reit 2000

27

Who said for an incisional wound, there is thin epithelial set at 24 h., collagen fibers by 48-72 hour, don't curette retained cortical tissue?

Harrison and Jurosky 1991

28

Who said that in an osseous wound, the fibrin clot forms, then is replaced by granulation tissue days 1-3, on day four, new periosteum forms, osteoblasts create new bone by day 14, and by day 28 there is maturing trabecular bone, and cortical plate starting to form?

Harrison and Jurosky 1992

29

Pecora 1995- large lesions

Membranes help large (esp. through and through) lesions heal more quickly

30

Who said that membranes help large (esp. through and through) lesions heal more quickly?

Pecora 1995

31

Who said that calcium sulfate barriers exclude connective tissue to allow bone regeneration, and improves clinical outcome in through and through lesions?

Pecora 2001

32

Pecora 2001- calcium sulfate

calcium sulfate barriers exclude connective tissue to allow bone regeneration, and improves clinical outcome in through and through lesions

33

Morgan and Marshall 1998

multipurpose bur creates the smoothes resected root end surface (and multi fluted carbide is better than diamond)

34

Who said that the multipurpose bur creates the smoothest resected root end surface (and carbide is better than diamond)?

Morgan and Marshall 1998

35

Who said that round bur is best for preparing osteotomy site, and should be used with brush stroke?

Tetsch 1994

36

Tetsch 1994

said that round bur is best for preparing osteotomy site, and should be used with brush stroke

37

Veksler 1991

Rinse with two thirty second chlorhexidine rinses before surgery, reduces bacterial load by 97% for one hour

38

Who said rinsing with 2 thirty second chlorhexidine rinses pre-surgery reduces bacterial load by 97% for one hour?

Veksler 1991

39

Why use MTA for root end? (according to Torabinejad?)

Torabinejad 1997: no periradicular inflammation and cementum over 5 of 6 root ends filled with MTA

40

Who showed no periradicular inflammation, and cementum covering 5 of 6 root ends filled with MTA?

Torabinejad 1997

41

Who showed in a prospective study that the overall success rate for apical surgery was 81% for an ultrasonic retroprep, and 71% for a bur retroprep?

De Lange 2007

42

What did De Lange show about retropreps?

81% success rate for ultrasonic retroprep, 71% success rate for bur retroprep.

43

Who looked at endodontic surgery in cats and found that the key element in advanced tissue regeneration is the presence of a membrane?

Artzi and Tsesis 2012

44

What did Artzi and Tsesis 2012 find about apical surgery?

key factor in new bone formation following surgery is the membrane, not the type of bone graft

45

who looked at MB roots of max molars and found minimal resection level to 3.6 mm
for
accessory canal incidence,
canal isthmus detection, and
canal wall thickness
in retrograde root resection/apical filling

Degerness and Bowles 2008

46

What did Degerness and Bowles 2008 say about root resection?

Minimum level to get rid of 80% of lateral canals is 3.6 mm

47

Who said 5 year healing rate: 86 v. 67% for MTA v. Super EBA

Von Arx 2012

48

Kraus 2015

when only one root has sx, the other root of mandibular molars rarely develops pathology (8%)

49

Who said when only one root has sx, the other root of mandibular molars rarely develops pathology (8%)

Kraus 2015

50

Who said for resurgery:
35.7% healed successfully after resurgery, 26.3% healed with uncertain results and 38% did not heal at the one-year follow-up

Peterson and Gutmann 2001

51

Who said Root repair material (calcium silicate-based bioceramic material) showed equal biocompatibility and sealing ability compared to MTA in canine models, and superior healing.

Kim 2015

52

Kim 2015. Why is bioceramic better for retrofills?

showed equal biocompatibility and sealing ability compared to MTA in canine models, and superior healing

53

Whose Review found that perf of maxillary sinus during SRCT and NSRCT rarely results in long-term post-op problems

Hauman 2001

54

How much epi in a racellet pellet?

0.55 mg, half of which is L, the active form