PubMed · 5290364
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R Caballero Herrera, M de Caballero Herrera. [Apicoectomies].. https://pubmed.ncbi.nlm.nih.gov/5290364/
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A recent audit of patients who underwent minor oral surgery within their own general dental practice confirms that treatment performed in this environment can have a high level of patient satisfaction. This article reports the results of the audit and explores the reasons why the patients chose to receive treatment in this way.
A practitioner with 4 years' hospital oral surgery experience undertook minor oral surgery procedures within a general dental practice over a 4-year period. The variety of work completed is shown. The National Health Service fees for the procedures indicate that a practice limited to minor oral surgery is both practically and financially viable when referral fees and x-rays are included. Differences in the types of procedure undertaken by visiting 'specialist' practitioners and 'specialist' practices is highlighted. A population of 310,000 is suggested for a 'specialist' practice in minor oral surgery to be feasible.
Exclusion of infected root tips, dentinal debris, and inflammatory tissue from the maxillary sinus during endodontic surgery is imperative. A simple technique for preventing accidental root tip intrusion into the maxillary sinus using a 6-0 suture and needle and a hole prepared in the root tip with a #2 round bur prior to apicoectomy is presented.