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cone beam – international magazine of cone beam dentistry

I research _ treatment of maxillary radicular cysts Technique and the Modified Papilla Preservation Technique,2 and vertical incisions were made in theareaoftheadjacenthealthyteeth.Themucope- riostealflapwasformedandraised,andabonewin- dowoverthecystwasmadeusingasurgicaldrilling bur. The curettage of the cyst cavity and the roots oftheinvolvedteethwasperformedusingacombi- nationofmanualandultrasonicmethods(Cavitron Select SPS, DENTSPLY) until complete cavity de- granulation. Table 2_Patient division into groups according to type of surgical method. Table 3_Patient division into groups according to suturing technique and post-operative management. Figs. 3a & b_A series of radiographs taken during the endodontic stage of treatment. The teeth involved (teeth #11–13) were treated with ProTaper files (DENTSPLY) and AH Plus (DENTSPLY). Fig. 4_Fixation of orthodontic buttons on the teeth in the future surgical area. Fig. 5_The mucoperiosteal flap was formed and raised. The bone window over the cystic cavity was made. The apices of the involved teeth were located in the cystic cavity. Figs. 6a & b_Ultrasonication of the cystic cavity (a) and root surfaces (b). 32 I cone beam2_2015 GROUP Surgical stage Incision,shape of Treatment of cystic cavity Cystectomy with apicectomy and Filling of cystic cavity mucoperiosteal flap Curettage (method) retrograde filling of root canals Main Trapezoidal with preservation Standard Standard + Resection + filling with ProRoot MTA PRGF-Endoret (clot, membrane) of interdental papilla and ultrasonication gingival contour Control 1 Trapezoidal, semilunar Standard Standard + Resection + filling with ProRoot MTA Bio-Oss ultrasonication Control 2 Trapezoidal, semilunar Standard None Resection + filling with Phosphadent (VladMiVa) Other bone fillers Control 3 Trapezoidal, semilunar Standard None Resection + retrograde root filling None Table 2 GROUP Suturing method Post-operative management and material Standard Proposed method Antibiotics Anti-inflammatory Time of (interrupted sutures) and analgesic therapy suture removal Main None Polyamide 5.0 None _Nimesulid powder 100 mg (b.i.d. for 5 days) Day 14 _Loratadinum 0.01 mg (o.d. for 5 days) Control 1 None Polyamide 5.0 Azithromycin 500 mg _Nimesulid powder 100 mg (b.i.d. for 5 days) Day 14 (1 tablet per day for 3 days) _Loratadinum 0.01 mg (o.d. for 5 days) Control 2 _Polyamide 3.0–4.0 None Ceftriaxone 500 mg _Nimesulid powder 100 mg (b.i.d. for 5 days) Day 7–10 _Polyester 3.0–4.0 (1 tablet b.i.d. for 7 days) _Loratadinum 0.01 mg (o.d. for 5 days) Control 3 _Polyamide 3.0–4.0 None Ceftriaxone 500 mg _Nimesulid powder 100 mg (b.i.d. for 5 days) Day 7–10 _Polyester 3.0–4.0 (1 tablet b.i.d. for 7 days) _Loratadinum 0.01 mg (o.d. for 5 days) Table 3 Fig. 3a Fig. 3b Fig. 4 Fig. 5 Fig. 6a Fig. 6b

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