Procedures of endoscopic periradicular surgery

Area of Science:

• Oral Surgery
• Endodontics
• Minimally Invasive Surgery

Background:

• Apicoectomy is a common procedure for treating apical lesions when non-surgical options fail or are not feasible.
• Treating molars requiring apicoectomy can be challenging due to anatomical complexities.
• Gutta-percha extrusion into the maxillary sinus can complicate apicoectomy procedures.

Purpose of the Study:

• To describe novel, minimally invasive endoscopic techniques for apicoectomy.
• To detail the removal of gutta-percha points from under the maxillary sinus mucosa.
• To evaluate the efficacy and safety of endoscopic-assisted apicoectomy in molars.

Main Methods:

• Utilized an ultrathin arthroscope for direct visualization and removal of extruded gutta-percha.
• Employed an intranasal endoscope for an alternative visualization approach during apicoectomy.
• Performed procedures with a focus on limited incision and bone removal.

Main Results:

• Successfully removed gutta-percha points from beneath the maxillary sinus mucosa using endoscopic techniques.
• Demonstrated that endoscopic apicoectomy is a minimally invasive and reliable procedure.
• Preserved the integrity of the maxillary sinus during the surgical intervention.

Conclusions:

• Endoscopic-assisted apicoectomy, utilizing arthroscopy or intranasal endoscopy, offers a viable minimally invasive solution for complex molar cases.
• These techniques minimize tissue disruption, reduce patient discomfort, and maintain sinus integrity.
• The described methods represent a significant advancement in apicoectomy for challenging anatomical locations.