Apicectomy: localization and isolation of the radicular apex

Apicectomy is a surgical root approach achieved to the preservation of the tooth any time this is possible. To effect a good procedure of primary importance is an anatomic knowledge because all depends on the right localization of the root apex. A radiography must be done before starting any surgical approach in order to have more acquaintance as possible about the exact location, form and correlations with the nearby anatomic parts. The second step after location of apex is its isolation by different procedures. Afterwards the retrograde filling in amalgam is effected. The use of this kind of filling makes the isolation of the surgical field extremely important in order to have a full success, if the isolation is not perfect then all the procedure will not be valid.