Endodontic surgery

Question 1

Definition of endodontic surgery

Answer 1

• Procedures involving resection of root apex(apicectomy) and retrograde obturation of root canal
• Persistent disease that was not been conventionally resolved

Question 2

Main categories of Endodontic surgical procedures

Answer 2

• Periapical currettage of persistent periradicular disease
• Surgical repair of root surface irregularities
• Root resection of posterior teeth to remove diseased roots

Question 3

Initial assessment for endodontic surgery

Answer 3

• Presence of infection
• Swelling
• Sinus tract
• Caries status
• Presence and quality of coronal restoration on tooth requiring surgery
• Periodontal status
• Occlusion

Question 4

Indications for periapical surgery

Answer 4

• Conventional root canal failure
• Periapical radiolucency persists
• Prolonged symtoms
• Retreatment impossible
• Perforation of root or pulp chamber which cannot be treated

Question 4

Contraindications for Endodontic surgery

Answer 4

• Local anatomical factors-inaccessible root
• Tooth w/ inadequate periodontal support
• Uncooperative patient
• Compromising medical condition
• Tooth unrestorable