Apical surgery: A review of current techniques and outcome

Apical surgery: A review of current techniques and outcome

Blog Article

Apical surgery is considered a standard oral surgical procedure.It is often a last resort to surgically maintain a tooth with a periapical lesion that Bracing cannot be managed with conventional endodontic (re-)treatment.The main goal of apical surgery is to prevent bacterial leakage from the root-canal system into the periradicular tissues by placing a tight root-end filling following root-end resection.Clinicians are advised to utilize a surgical microscope to perform apical surgery to benefit from magnification and illumination.In addition, the application of microsurgical techniques in apical surgery, i.

e., gentle incision and flap Bucket Hat elevation, production of a small osteotomy, and the use of sonic- or ultrasonic driven microtips, will result in less trauma to the patient and faster postsurgical healing.A major step in apical surgery is to identify possible leakage areas at the cut root face and subsequently to ensure adequate root-end filling.Only a tight and persistent apical obturation will allow periapical healing with good long-term prognosis.The present paper describes current indications, techniques and outcome of apical surgery.

Keywords: Apical surgery, Mineral trioxide aggregate, Computed tomography.