Pulp necrosis in the left upper incisor as a consequence of neurovascular pedicle compression

Javier Martínez Osorio , Sebastiana Arroyo Bote

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Article: Pulp necrosis in the left upper incisor as a consequence of neurovascular pedicle compression

Authors: Dr. Javier Martínez Osorio and Dr. Sebastiana Arroyo Bote

Learning Objectives:

  1.  Assess the need for surgical removal of supernumerary teeth and the most appropriate time for surgery
  2. Understand how imaging techniques can help us while planning surgery
  3. Learn the pathophysiology of neurovascular bundle before entering the apex
  4. Understand why a pink coloration becomes darker and brown in a few hours
  5. Study and identify the surgical access routes

The C.E. quiz will be available online, upon registration for this course.

For additional reading on the topic, please refer to:

K Horner, L O'Malley, K Taylor and A-M Glenny “Guidelines for clinical use of CBCT: a review “Dentomaxillofacial Radiology 2015 44:1

G. Rex Holland & Tatiana M. Botero “Pulp biology: 30 years of progress” Endodontic Topics 2014, 31, 19–35

T. G. Kontogiannis, K. I. Tosios, N. P. Kerezoudis, S. Krithinakis, P. Christopoulos &

A. Sklavounou. “Periapical lesions are not always a sequelae of pulpal necrosis: a retrospective study of 1521 biopsies” International Endodontic Journal, 48, 68–73, 2015

Thomas Andrew Flanagan.  “What can cause the pulps of immature, permanent teeth with open apices to become necrotic and what treatment options are available for these teeth” Aust Endod J 2014; 40: 95–100

Alberto Caprioglio, Claudia Caprioglio, Lisa Mariani, and Damasco Caprioglio.  Vol. 34 “Orthodontics and traumatic injuries to the teeth” Bologna, Italy: Edizioni Martina ISBN 978-88-7572-142-8

Silvio Taschieri; Tommaso Weinstein; Igor Tsesis;  Monica Bortolin; and Massimo Del Fabbro. “Magnifying loupes versus surgical microscope in endodontic surgery: A four-year retrospective study” Aust Endod J 2013; 39: 78–80

Thomas Jovicich. “The thing you need to know for successful endodontic treatment” Roots International Magazine of endodontology. 2013; 4: 6-10

James L. Gutmann. “Surgical endodontics: past, present, and future” Endodontic Topics 2014, 30, 29–43

Release date: 20 February 2015
Expiration date: 20 February 2018


Javier Martínez Osorio

Javier Martínez Osorio graduated in medicine in 1981 from Barcelona University. He specialized in dentistry in 1983 and plastic surgery in 1987. He is a member of the Spanish Society of Implantology, Endodontic, Conservative Odontology and Maxillofacial Surgery. He is associate professor of conservative dentistry and endodontic, faculty of odontology at Barcelona University since 1996. He maintains a private practice in implants and endodontic surgery in Barcelona, Spain. He is an author of publications and lectures around the world on current concepts in endodontic surgery and implantology. He is president of the Catalonia Society of Odontology.

Sebastiana Arroyo Bote

Sebastiana Arroyo Bote graduated in medicine in 1983 from Barcelona University. She specialized in dentistry in 1985. She is a member of the Spanish Society of Endodontology and Conservative Dentistry. She is associate professor of conservative dentistry and endodontology, Barcelona University, since 1992. She maintains a private practice in conservative dentistry and endodontic treatment in Barcelona, Spain. She is an author of publications and lectures on current concepts in endodontology and esthetic conservative dentistry.

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