INTERDISCIPLINARY MANAGEMENT OF PERIAPICAL PERIODONTITIS: CASE REPORTS

Dr. Sneha V. Rathod, Dr. Nikhil Yengure, Dr. Mona Shah, Dr. Dayanand Chole, Dr. Sriniwas Bakale, Dr. Yogesh Doshi, Dr. Vidhi Kevadia

ABSTRACT

The aim of these case reports was to evaluate the effect of different flap designs used in periapical surgery. Apicoectomy involves surgical management of a tooth with a periapical lesion, which cannot be resolved by routine endodontic treatment. Objective of apical surgery is to prevent leakage of bacteria and their byproducts from the root canal system into peri-radicular tissue. In the present case reports 3 different flap designs were used, the first case was done by using Luebke–Ochsenbein flap (submarginal scalloped rectangular), second case was done by using papilla base incision with trapezoidal flap, third case was done by using intrasulcular incision with trapezoidal flap. Postoperative healing was evaluated clinically, taking into consideration the swelling, soft tissue changes, recession of marginal gingiva, scarring, and closure of the wound site. Follow up was taken at 1st week and 8th week postoperatively.

Keywords: Periapical surgery, flap design, apicoectomy.