Endodontic Surgery and Treatment Failures
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Questions and Answers

What percentage of cases may show persistent or recurrent symptoms after conventional endodontic treatment?

  • 20% to 25%
  • 15% to 20%
  • 10% to 15% (correct)
  • 5% to 10%

What is one of the indications for periapical surgery?

  • Presence of a draining fistula
  • Radiolucency increasing in size
  • Pain on mastication
  • Anatomic problems (correct)

What is one of the procedures included in periapical surgery?

  • Gingival grafting
  • Resection of the root apex (correct)
  • Scaling and root planing
  • Placement of a post and core

When do many endodontic failures occur following the initial root canal treatment?

<p>A year or more later (A)</p> Signup and view all the answers

What has traditionally been an important part of endodontic treatment?

<p>Surgery (A)</p> Signup and view all the answers

What is the preferred approach when simultaneous root canal therapy and apical surgery are indicated?

<p>Perform only the conventional treatment without the adjunctive apical surgery (A)</p> Signup and view all the answers

What is the best course of action when conventional endodontic treatment is ineffective at eliminating symptoms in some patients?

<p>Identify the cause of failure and design an appropriate corrective treatment plan (D)</p> Signup and view all the answers

When is surgical management of all periapical pathoses, large periapical lesions, or both often unnecessary?

<p>After appropriate root canal treatment (C)</p> Signup and view all the answers

What is often unsuccessful when the cause of a treatment failure cannot be identified?

<p>Surgery to correct the treatment failure (C)</p> Signup and view all the answers

What often offers the best chance of success when addressing orthograde re-treatment?

<p>Orthograde re-treatment itself (D)</p> Signup and view all the answers

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