Endodontic surgery

When the root canal re-treatment fails or is not possible (unusual obstructions like broken instruments, aberrant anatomy, post and core) there are only 2 possibilities of therapy:

   
1. extraction and root replacement with an implant (when possible)
   
2. endodontic surgery (apicectomy): cleansing, shaping and filling in order to recover the apical seal, whose absence is responsible for apical infection (granuloma,
endodontic cyst).

Accurate diagnosis (pay attention to cracked roots!), evaluation of cost-benefit rate (the surgical treated root is more often weakened and cracks easily!) are needed in order to propose the most cost-effective surgical therapy: the failure of endodontic surgery may cause further damage to soft
and hard tissue preventing or making it very complicated to insert a dental implant (especially in the frontal smile-region).
Over the past 10 years outcome of this type of micro-surgery (the root apex is of few square millimeters
size) are improved by routine use of the operating microscope, the availability of specific retroseal material (retro-filling ) and the miniaturization of ultrasonic instruments for cleaning and shaping the root apex (less invasive).

no procedures in this list.

no procedures in this list.