Para lograr la curación ósea, han sido sugeridos distintos materiales, sustitutos óseos o membranas de barrera para ser utilizados durante la cirugía perirradicular. La mezcla de cemento de calcio enriquecido puede aplicarse como relleno radicular o sustituto óseo. Se presenta un caso en el que se utilizó este material para el abordaje quirúrgico por endodoncia de una lesión periapical extensa.

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Bibliografía del caso clínico
1- Kim S, Kratchman S. Modern endodontic surgery concepts and practice: a review. J Endod 2006;32:601-23.
2- Asgary S, Eghbal MJ, Parirokh M. Sealing ability of a novel endodontic cement as a root-end filling material. J Biomed Mater Res A 2008;87:706-9.
3- Asgary S, Eghbal MJ, Parirokh M, Ghanavati F, Rahimi H. A comparative study of histologic response to different pulp capping materials and a novel endodontic cement. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2008;106:609-14.
4- Asgary S, Eghbal MJ, Ehsani S. Periradicular regeneration after endodontic surgery with calcium-enriched mixture cement in dogs. J Endod 2010;36:837-41.
5- Torabinejad M, Ford TR, Abedi HR, Kariyawasam SP, Tang HM. Tissue reaction to implanted root-end filling materials in the tibia and mandible of guinea pigs. J Endod 1998;24:468-71.
6- Parirokh M, Torabinejad M. Mineral trioxide aggregate: a comprehensive literature review--Part III: Clinical applications, drawbacks, and mechanism of action. J Endod 2010;36:400-13.
7- Asgary S, Kamrani FA. Antibacterial effects of five different root canal sealing materials. J Oral Sci 2008;50:469-74.
8- Asgary S, Shahabi S, Jafarzadeh T, Amini S, Kheirieh S. The properties of a new endodontic material. J Endod 2008;34:990-3.
9- Tobón SI, Arismendi JA, Marín ML, Mesa AL, Valencia JA. Comparison between a conventional technique and two bone regeneration techniques in periradicular surgery. Int Endod J 2002;35:635-41.
10- Tobón-Arroyave SI, Domínguez-Mejía JS, Flórez-Moreno GA. Periosteal grafts as barriers in periradicular surgery: report of two cases. Int Endod J 2004;37:632-42.
11- Greenwald AS, Boden SD, Goldberg VM, Khan Y, Laurencin CT, Rosier RN; American Academy of Orthopaedic Surgeons. The Committee on Biological Implants. Bone-graft substitutes: facts, fictions, and applications. J Bone Joint Surg Am 2001;83-A Suppl 2 Pt 2:98-103.
12- Becker W, Becker BE, Caffesse R. A comparison of demineralized freeze-dried bone and autologous bone to induce bone formation in human extraction sockets. J Periodontol 1994;65:1128-33.
13- Trejo PM, Weltman R, Caffesse R. Treatment of intraosseous defects with bioabsorbable barriers alone or in combination with decalcified freeze-dried bone allograft: a randomized clinical trial. J Periodontol 2000;71:1852-61.
14- Rosen PS, Reynolds MA, Bowers GM. The treatment of intrabony defects with bone grafts. Periodontol 2000;22:88-103.
15- Quattlebaum JB, Mellonig JT, Hensel NF. Antigenicity of freeze-dried cortical bone allograft in human periodontal osseous defects. J Periodontol 1988;59:394-7.
16- Dreesmann H. Über Knochenplombierung. Beitr Klin Chir 1892;9:804-10.
17- Allegrini S Jr, Koening B Jr, Allegrini MR, Yoshimoto M, Gedrange T, Fanghaenel J, Lipski M. Alveolar ridge sockets preservation with bone grafting--review. Ann Acad Med Stetin 2008;54:70-81.
18- Asgary S, Eghbal MJ, Parirokh M, Ghoddusi J. Effect of two storage solutions on surface topography of two root-end fillings. Aust Endod J 2009;35:147-52.
19- Asgary S, Eghbal MJ, Parirokh M, Ghoddusi J, Kheirieh S, Brink F. Comparison of mineral trioxide aggregate's composition with Portland cements and a new endodontic cement. J Endod 2009;35:243-50.
20- Parirokh M, Asgary S, Eghbal MJ, Stowe S, Kakoei S. A scanning electron microscope study of plaque accumulation on silk and PVDF suture materials in oral mucosa. Int Endod J 2004;37:776-81.
21- von Arx T, Gerber C, Hardt N. Periradicular surgery of molars: a prospective clinical study with a one-year follow-up. Int Endod J 2001;34:520-5.
22- Bodrumlu E. Biocompatibility of retrograde root filling materials: a review. Aust Endod J 2008;34:30-5.
23- Samiee M, Eghbal MJ, Parirokh M, Abbas FM, Asgary S. Repair of furcal perforation using a new endodontic cement. Clin Oral Investig 2010;14:653-8.
24- Pecora G, Kim S, Celletti R, Davarpanah M. The guided tissue regeneration principle in endodontic surgery: one-year postoperative results of large periapical lesions. Int Endod J 1995;28:41-6.
25- Forssell H, Tammisalo T, Forssell K. A follow-up study of apicectomized teeth. Proc Finn Dent Soc 1988;84:85-93.
26- Rubinstein RA, Kim S. Short-term observation of the results of endodontic surgery with the use of a surgical operation microscope and Super-EBA as root-end filling material. J Endod 1999;25:43-8.
27- Stassen LF, Hislop WS, Still DM, Moos KF. Use of anorganic bone in periapical defects following apical surgery--a prospective trial. Br J Oral Maxillofac Surg 1994;32:83-5.
28- Uchin RA. Use of a bioresorbable guided tissue membrane at an adjunct to bony regeneration in cases requiring endodontic surgical intervention. J Endod 1996;22:94-6.
29- Santamaría J, García AM, de Vicente JC, Landa S, López-Arranz JS. Bone regeneration after radicular cyst removal with and without guided bone regeneration. Int J Oral Maxillofac Surg 1998;27:118-20.
30- Garrett K, Kerr M, Hartwell G, O'Sullivan S, Mayer P. The effect of a bioresorbable matrix barrier in endodontic surgery on the rate of periapical healing: an in vivo study. J Endod 2002;28:503-6.
31- Ishida H, Tamai S, Yajima H, Inoue K, Ohgushi H, Dohi Y. Histologic and biochemical analysis of osteogenic capacity of vascularized periosteum. Plast Reconstr Surg 1996 ;97:512-8.
32- Marín-Botero ML, Domínguez-Mejía JS, Arismendi-Echavarría JA, Mesa-Jaramillo AL, Flórez-Moreno GA, Tobón-Arroyave SI. Healing response of apicomarginal defects to two guided tissue regeneration techniques in periradicular surgery: a double-blind, randomized-clinical trial. Int Endod J 2006;39:368-77.
33- Torabinejad M, Walton RE. Periradicular lesions. In: Ingle JI, Bakland LK, eds. Endodontics. 5th ed. Hamilton, Ont: BC Decker Inc., 2002:175-201.
34- Lindhe J, Echeverria J. Consensus report of session II. In: Lang NP & Karring T, eds. European Workshop on Periodontology. First Proceedings of the first European Workshop on Periodontology, London: Quintessence Publishing Co., 1994:210-214. Artículos publicados por el autor (selección)
Asgari S, Janahmadi M, Khalilkhani H. Comparison of neurotoxicity of root canal sealers on spontaneous bioelectrical activity in identified Helix neurones using an intracellular recording technique Int Endod J. 12:891-7, 2003

Stowe S, Parirokh M, Asgary S, Eghbal MJ. The benefits of using low accelerating voltage to assess endodontic instruments by scanning electron microscopy Aust Endod J 30(30):5-10, 2004

Parirokh M, Asgary S, Eghbal MJ, Stowe S, Kakoei S A scanning electron microscope study of plaque accumulation on silk and PVDF suture materials in oral mucosa. Int Endod J 37(37):776-81, 2004

Asgary S, Parirokh M, Eghbal MJ, Brink F. A comparative study of white mineral trioxide aggregate and white Portland cements using X-ray microanalysis. Aust Endod J 30(30):89-92, 2004

Asgary S, Parirokh M, Eghbal MJ, Brink F. Chemical differences between white and gray mineral trioxide aggregate. J Endod. 31(31):101-3, 2005

Parirokh M, Asgary S, Eghbal MJ, Stowe S, Eslami B, Eskandarizade A, Shabahang S A comparative study of white and grey mineral trioxide aggregate as pulp capping agents in dog's teeth. Dent Traumatol. 21(21):150-4, 2005

Parirokh M, Asgary S, Eghbal MJ. An energy-dispersive X-ray analysis and SEM study of debris remaining on endodontic instruments after ultrasonic cleaning and autoclave sterilization Aust Endod J. 31(31):53-8, 2005

Asgary S, Parirokh M, Eghbal MJ, Stowe S, Brink F. A qualitative X-ray analysis of white and grey mineral trioxide aggregate using compositional imaging J Mater Sci Mater Med. 17(17):187-91, 2006

Asgary S, Parirokh M, Eghbal MJ, Ghoddusi J, Eskandarizadeh A. SEM evaluation of neodentinal bridging after direct pulp protection with mineral trioxide aggregate Aust Endod J. 32(32):26-30, 2006

Asgary S, Eghbal MJ, Parirokh M. Sealing ability of a novel endodontic cement as a root-end filling material. J Biomed Mater Res A. 87(87):706-9, 2008

Asgary S, Shahabi S, Jafarzadeh T, Amini S, Kheirieh S. The properties of a new endodontic material. J Endod. 34(34):990-3, 2007

Asgary S, Eghbal MJ, Parirokh M, Ghanavati F, Rahimi H. A comparative study of histologic response to different pulp capping materials and a novel endodontic cement Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 106(106):609-14, 2008

Asgary S, Kamrani FA. Antibacterial effects of five different root canal sealing materials J Oral Sci. 50(50):469-74, 2008

Asgary S, Ehsani S. Permanent molar pulpotomy with a new endodontic cement: A case series J Conserv Dent 12(12):31-6, 2009

Asgary S, Eghbal MJ, Parirokh M, Ghoddusi J, Kheirieh S, Brink F. Comparison of mineral trioxide aggregate's composition with Portland cements and a new endodontic cement J Endod. 35(35):243-50, 2008

Eghbal MJ, Asgary S, Baglue RA, Parirokh M, Ghoddusi J. MTA pulpotomy of human permanent molars with irreversible pulpitis Aust Endod J. 35(35):4-8, 2009

Samiee M, Eghbal MJ, Parirokh M, Abbas FM, Asgary S. Repair of furcal perforation using a new endodontic cement Clin Oral Investig. 14(14):653-8, 2010

Asgary S, Eghbal MJ, Parirokh M, Ghoddusi J. Effect of two storage solutions on surface topography of two root-end fillings Aust Endod J. 35(35):147-52, 2009

Asgary S, Eghbal MJ, Ehsani S. Periradicular regeneration after endodontic surgery with calcium-enriched mixture cement in dogs J Endod. 36(36):837-41, 2010

Nosrat A, Asgary S. Apexogenesis treatment with a new endodontic cement: a case report J Endod. 36(36):912-4, 2010

Tabarsi B, Parirokh M, Eghbal MJ, Haghdoost AA, Torabzadeh H, Asgary S. A comparative study of dental pulp response to several pulpotomy agents Int Endod J. 43(43):565-71, 2010

Asgary S, Eghbal MJ. A Clinical Trial of Pulpotomy vs. Root Canal Therapy of Mature Molars J Dent Res. 89(89):1080-5, 2010

Nosrat A, Asgary S. Apexogenesis of a symptomatic molar with calcium enriched mixture Int Endod J. 43(43):940-4, 2010

Asgary S, Eghbal MJ. The effect of pulpotomy using a calcium-enriched mixture cement versus one-visit root canal therapy on postoperative pain relief in irreversible pulpitis: a randomized clinical trial Odontology. 98(98):126-33, 2010

Asgary S. Furcal perforation repair using calcium enriched mixture cement J Conserv Dent. 13(13):156-8, 2010

Asgary S, Nosrat A, Seifi A. Management of Inflammatory External Root Resorption by Using Calcium-enriched Mixture Cement: A Case Report J Endod. 37(37):411-3, 2011

Nosrat A, Seifi A, Asgary S. Regenerative endodontic treatment (revascularization) for necrotic immature permanent molars: a review and report of two cases with a new biomaterial J Endod. 37(37):562-7, 2011

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