School of Dental Medicine, University of Zagreb, Croatian Dental Society - Croatian Medical Association
Abstract
Svrha ovog istraživanja jest predstaviti i ocijeniti originalni režanj u „V“ obliku kojim se liječnici koriste za kirurško-endodontsko zbrinjavanje kroničnoga periapikalnog procesa. Sudjelovalo je 55 pacijenata dobroga općeg zdravlja. Svi su upućeni u Zavod za oralnu kirurgiju zbog endodontsko-kirurškog zbrinjavanja maksilarnih zuba. „V“ režanj se primijenio u svim slučajevima. Kirurška tehnika je zasebno opisana. Svako kirurško polje provjereno je nekoliko puta tijekom postupka. Klinički intraoperativni i postoperativni nalazi govore u prilog individualnosti vestibularnog „V“ režnja kod endodontsko-kiruških zbrinjavanja kroničnih periapikalniih procesa. Postupak je jednostavan, što je pridonijelo atraumatskoj retrakciji s dostatnom krvnom opskrbljenošću te repoziciji režnja sa samo nekoliko šavova. Čak i bez premedikacije, oko 65,4 posto pacijenata nije osjećalo bolove. Blaga oteklina kirurškog polja bila je prisutna u svim slučajevima. Cijeljenje je bilo potpuno, bez znakova retrakcije i dehiscijencije.The aim of this study was to present and evaluate the authentic “V” shaped flap for surgical endodontic treatment of periapical chronic diseases. The study included 55 patients in good general health, referred to the department of oral surgery for surgical endodontic treatment of maxillary teeth. “V’’ shaped flap was used in all cases. The surgical technique was described. The surgical sites were assessed at several points in time. Our intraoperative and postoperative clinical findings regarding the implementation of the vestibular “V’’ flap in surgical treatment of periapical chronic diseases, have confirmed its individuality. It was easy to perform the procedure which enabled atraumatic retraction with abundant blood supply and repositioning with a few stitches. Even without premedication, the following day 65.4% of the patients experienced no pain, and mild swelling of the surgical site was evident in all cases. The healing was complete, without any signs of tissue retraction and dehiscence
