Surgical endodontics

doi:doi:10.1038/sj.bdj.4811970

British Dental Journal 198, 71 - 79 (2005)
Published online: 22 January 2005 | doi:10.1038/sj.bdj.4811970

Verifiable CPD Paper:
Surgical endodontics

P Carrotte¹

A surgical approach to a failed root canal treatment should only be considered when an orthograde approach is not possible.
The reason for failure should be carefully diagnosed before surgery is prescribed.
Modern periradicular surgery involves the use of an operating microscope, microsurgical instruments, and appropriate retrograde sealing materials
All surgical treatment should be followed-up, and encompassed in audit procedures.

Endodontics

The modern concept of root canal treatment
Diagnosis and treatment planning
Treatment of endodontic emergencies
Morphology of the root canal system
Basic instruments and materials for root canal treatment
Rubber dam and access cavities
Preparing the root canal
Filling the root canal system
Calcium hydroxide, root resorption, endo-perio lesions
Endodontic treatment for children
Surgical endodontics
Endodontic problems

Root canal treatment usually fails because infection remains within the root canal. An orthograde attempt at re-treatment should always be considered first. However, when surgery is indicated, modern microtechniques coupled with surgical magnification will lead to a better prognosis. Careful management of the hard and soft tissues is essential, specially designed ultrasonic tips should be used for root end preparation which should ideally be sealed with MTA. All cases should be followed up until healing is seen, or failure accepted, and should form a part of clinical audit.

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