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Updated: Apr 11, 2026
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Guided Endodontics: Three-Dimensional Planning and Template-Aided Preparation of Endodontic Access Cavities
Published on: May 24, 2022
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Current Concepts of Periapical Surgery.
1Oral and Maxillofacial Surgery, University of Connecticut Health Center, Farmington, CT, USA; Private Practice, Avon Oral and Maxillofacial Surgery, 34 Dale Road, Suite 105, Avon, CT 06001, USA.
Summary
Preoperative decisions guide periapical surgery success. Key steps involve adequate root exposure via sulcular incisions, apical resection, and sealing, with pathology evaluation considered.
Area of Science:
- Dentistry
- Oral Surgery
Background:
- Effective preoperative planning is crucial for successful periapical surgery.
- The surgical approach significantly impacts the outcome of endodontic microsurgery.
Purpose of the Study:
- To outline critical decision-making steps for periapical surgery.
- To detail optimal surgical techniques for accessing and treating the root apex.
Main Methods:
- Utilizing a sulcular-type incision for optimal exposure of the root apical region.
- Performing apical resection of 2-3 mm.
- Executing root end preparation and sealing procedures.
Main Results:
- Sulcular incisions provide adequate exposure for periapical surgery.
- Root resection, preparation, and sealing are standard surgical components.
- Pathological examination of periapical tissues is a potential consideration.
Conclusions:
- Informed preoperative decisions are essential for periapical surgery outcomes.
- Specific surgical techniques, including incision type and apical treatment, are vital.
- Consideration for histopathological analysis of excised tissues is important.
