The aim of this investigation was to review the surgical factors related to ostectomy in periapical surgery and their relationship to prognosis. An update was made of different techniques to achieve adequate access to the periapical lesion. Visual control of the affected roots is important for a successful result in periapical surgery; for this reason, the bone tissue from the vestibular cortical bone must be removed through an ostectomy or osteotomy. The technique used and the amount of bone removed must be analyzed preoperatively, since it will have a direct relationship to the surrounding anatomical structures, the healing time and the need to perform bone regeneration techniques. With the use of microsurgical techniques, the size of the ostectomy should not exceed 5 mm in order to reduce the healing time and thus improve the prognosis of periapical surgery. Osteotomy is an alternative technique that allows preservation of the external cortical bone, but has been little studied.
KeywordsOstectomy; osteotomy; periapical surgery; endodontic surgery; prognosis.
MALSCH, Germany: A concern regarding digitalisation is that it is linked to the risk of important professional disciplines losing significance in the public perception. The daily routine of a dentist is characterised by a variety of different challenges and tasks. From initial diagnosis to therapy planning, the concrete realisation still remains in the hands of the dentist. In the face of the omnipresent issue of digitalisation, the necessary manual dexterity is increasingly pushed to the background, and yet, it is among the most vital prerequisites for quality and sustainable dental care. In dental practice, there are some key areas that are gaining increasing importance: periodontics, implant dentistry, functional therapy, aesthetic dentistry, holistic dentistry, sports dentistry, the list goes on.