Histologic evaluation of the use of membrane, bone graft, andA in apical surgery

• Published in: Oral surgery, oral medicine, oral pathology, oral radiology and endodontics Vol. 109; no. 2; pp. 309 - 314
• Main Authors: Bernabe, Pedro Felicio Estrada, Gomes-Filho, Joao Eduardo, Cintra, Luciano Tavares Angelo, Moretto, Marcelo Juliano, Lodi, Carolina Simonetti, Nery, Mauro Juvenal, Filho, Jose Arlindo Otoboni, Dezan, Eloi
• Format: Journal Article
• Language: English
• Published: 01.02.2010
• Subjects: Blood groups; Bone grafts; Bone healing; Bone surgery; Curettage; Dental caries; Dental roots; Inflammation; Mineralization; osteotomy; Standardization; Surgery; Teeth; Ultrasound
• ISSN: 1079-2104
• DOI: 10.1016/j.tripleo.2009.07.019

The aim of this study was to evaluate the periapical healing after the use of membrane, bone graft, and mineral trioxide aggregate (MTA) in apical surgery of dogs' teeth. Apical lesions were induced in 48 roots of 6 dogs after coronal access and pulpal removal. Apical surgery consisted of osteotomy with trephine bur for the standardization of the critical surgical cavities, followed by apicoectomy, curettage, preparation of the root-end cavities with the aid of the ultrasonic device, and retrofilling withA. The surgical sites were divided into: group 1 - filled with blood; group 2 - filled with blood and recovered with membrane; group 3 - filled with bone graft; and group 4 - filled with bone graft and recovered with membrane. The results showed that the inflammatory infiltrate, the periapical healing process, and the behavior ofA was the same in all groups, including the mineralization stimulation. It was concluded that the use of membranes and bone graft materials isolated or associated in apical surgery did not alter the periapical healing process after the root-end filling withA.