Surgical Endodontics: Procedures & Indications

Surgical Endodontics UNIT 3 PART 2  Indications for Surgical Intervention 1. Endodontic Failure 2. Exploratory Surgery Surgical 3. Biopsy Endodontics 1. Endodontic Failure May be caused by: persistent infection...

Surgical Endodontics UNIT 3 PART 2  Indications for Surgical Intervention 1. Endodontic Failure 2. Exploratory Surgery Surgical 3. Biopsy Endodontics 1. Endodontic Failure May be caused by: persistent infection severely curved roots perforation of the canal fractured roots extensive root resorption accessory canals that cannot be treated 2. Exploratory Surgery To determine why healing had not occurred 3. Biopsy Removal of tissue from living patients for diagnostic examination. Apicoectomy To surgically remove the apical portion of the root with the use of a high-speed handpiece and bur  The dentist can examine the apex for: Reasons for an 1. Inadequate sealing of the canal or accessory canals Apicoectomy 2. Fractures of the root 3. Pathological tissue around the root apex Apicoectomy Apical Curettage Sometimes required to remove the pathological soft tissue around the root apex. Curettage means the removal of diseased tissue through scraping with a curette. Retrograde Restoration Also referred to as root endo filling Completed when an apical seal is not adequate. A small preparation is made at the apex and sealed with filling materials such as gutta-percha, amalgam, or composite. Retrograde Restoration Root Amputation A surgery performed to remove one or more roots of a multirooted tooth without removing the crown. Most often performed on maxillary molars Hemisection A procedure in which the root and the crown are cut lengthwise and removed. Most often performed on mandibular molars  DA role in Endodontic procedures….