Journal of Prevention and Treatment for Stomatological Diseases ›› 2019, Vol. 27 ›› Issue (10): 613-620.doi: 10.12016/j.issn.2096-1456.2019.10.001

• Expert Forum • Previous Articles     Next Articles

Consideration of indications for endodontic microsurgery

ZENG Xiongqun(),XU Shuaimei   

  1. Department of endodontics, Stomatological Hospital, Southern Medical University, Guangzhou 510280, China
  • Received:2019-02-18 Revised:2019-05-04 Online:2019-10-20 Published:2019-10-20
  • Contact: Xiongqun ZENG E-mail:xiongqun_zeng@163.com

Abstract:

Posttreatment disease is a difficult clinical problem. Periradicular surgery is an important and effective method for cases that cannot be resolved by root canal therapy. In recent years, with the application of microscope for oral surgery and the development of microsurgical instruments, microsurgery in endodontics has reduced treatment trauma compared to traditional periradicular surgery and further improved the success rate of clinical treatment. However, as an invasive surgical method, the indications and timing of microsurgery in endodontics should be strictly defined for clinical applications. This paper reviews the literature on this important issue and discusses it with regard to the clinical experience of the author′s team. Explaining the effective root canal retreatment and good coronary closure are the primary considerations when posttreatment disease occurs. When root canal retreatment fails or cannot be completed after the initial treatment, the anatomical factors, lesion extent and periodontal lesion combination should be fully considered, and the microsurgery treatment strategy should be carefully formulated.

Key words: periapical lesion, endodontic microsurgery, root canal retreatment, posttreatment disease, indications

CLC Number: 

  • R781.05

Figure 1

Endodontic microsurgery effect of the second mandibular premolar tooth with a C type root"

Figure 2

Endodontic microsurgery effect for the treatment of maxillary lateral incisors with a crown"

Figure 3

Endodontic microsurgery combined with guided tissue regeneration for the treatment of maxillary lateral incisors with cysts"

Figure 4

Effect of endodontic microsurgery for the treatment of the maxillary incisors with combined periodontal endodontic lesions"

Figure 5

Endodontic microsurgery for the treatment of first maxillary molar with overfilling materials"

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