Journal of Prevention and Treatment for Stomatological Diseases ›› 2021, Vol. 29 ›› Issue (10): 649-655.doi: 10.12016/j.issn.2096-1456.2021.10.001

• Expert Forum • Previous Articles     Next Articles

Full-cycle management of endodontic microsurgery

HUANG Xiangya(),CAI Yanling,WEI Xi()   

  1. Department of Operative Dentistry and Endodontics, Hospital of Stomatology, Guanghua School of Stomatology, Sun Yat-sen University, Guangdong Provincial Key Laboratory of Stomatology, Guangzhou 510055, China
  • Received:2021-02-16 Revised:2021-04-01 Online:2021-10-20 Published:2021-06-23
  • Contact: Xi WEI E-mail:hxiangya@mail.sysu.edu.cn;weixi@mail.sysu.edu.cn
  • Supported by:
    National Natural Science Foundation of China(81800960);Guang-dong Financial Fund for High-Caliber Hospital Construction(174-2018-XMZC-0001-03-0125/A-01);Guang-dong Financial Fund for High-Caliber Hospital Construction(174-2018-XMZC-0001-03-0125/D-04)

Abstract:

Contemporary endodontic microsurgery has emerged as a significant treatment modality in the retention of teeth with persistent apical periodontitis. This article proposes the concept of the full-cycle clinical management of endodontic microsurgery based on the condition of the patient and tooth, attempting to develop a comprehensive strategy for the examination, treatment and follow-up to save natural teeth. Full-cycle clinical management included preoperative consideration of the general condition and surgical site and selection of cases for endodontic microsurgery; intraoperative application of techniques such as lasers, "bone window" technique and targeted endodontic microsurgery to make the surgical approaches more varied and the operation minimally invasive; postoperative outcome assessment according to the history, clinical and radiographic examination; and analysis of the short- and long-term outcomes.

Key words: endodontic microsurgery, clinical management, apical periodontitis, laser technique, "bone window" technique, targeted endodontic microsurgery, 3D radiographic outcome assessment, long-term follow-up

CLC Number: 

  • R78

Figure 1

Full-cycle management of endodontic microsurgery 2D: periapical radiography; 3D: cone-beam CT; TEMS: targeted endodontic microsurgery."

Figure 2

The follow-up of endodontic microsurgery 2D: periapical radiography; 3D: cone-beam CT"

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