Apexum-Lets make apex smile
Journal Title: Journal of Medical and Dental Science Research (Quest Journals JMDSR) - Year 2017, Vol 4, Issue 9
Abstract
Aim: To focus the technique and benefits of Apexum, a non-surgical treatment modality for periapical lesions. Introduction: Since long time, surgeries have been considered as the last resort for periapical lesions. With recent advances and patients’ awareness non-surgical treatment modalities are replacing conventional surgical treatment. Time has come to adopt such techniques to keep in pace with technology and patients’ satisfaction. This article reviews Apexum, which consists of –Ni-Ti Ablator – Made up of Nickel-Titanium wire within a tube of the same, is coarse with pre-bent Shape Memory and PGA Ablator – Fine wire made up of Poly Glycolic Acid. Method : Access opening is done and canal is widened by passing a #30 file 1mm beyond the apex to create an opening of 330microns in diameter. Then it is rinsed with sterile saline and Ni-Ti Ablator is introduced periapically and rotated at 5000-7000rpm for 30 seconds followed by rinsing with saline. Then PGA Ablator is introduced and rotated at 5000-7000rpm for 30 seconds to form a coagulum or plug. Finally whole periapical area is again rinsed with saline. Patient is recalled for follow-up for 6-12 months. Advantages : Better and faster healing when compared to only endodontically treated tooth, No postoperative pain and swelling, Clean bloodless operating field and Psychological benefit.
Authors and Affiliations
Dr. Seema D . Pathak
Keywords
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