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Current Concepts of Periapical Surgery: 2020 Update
1Oral and Maxillofacial Surgery, University of Connecticut Health Center; Private Practice, Avon Oral, Facial and Dental Implant Surgery, 34 Dale Road, Suite 105, Avon, CT 06001, USA.
Oral and Maxillofacial Surgery Clinics of North America
|September 11, 2020
Summary
Conventional endodontic treatment sometimes fails, necessitating a choice between apical surgery, retreatment, or extraction with implant replacement. Apical surgery offers a way to preserve teeth that remain symptomatic after initial endodontic procedures.
Area of Science:
- Endodontics
- Oral Surgery
Background:
- Conventional endodontic procedures achieve high success rates but can fail.
- Treatment failure may occur even after a year, often post-restoration.
Purpose of the Study:
- To review current indications for periapical surgery.
- To discuss factors predicting successful outcomes for periapical surgery.
Main Methods:
- Literature review of endodontic treatment outcomes.
- Analysis of factors influencing periapical surgery success.
Main Results:
- Periapical surgery can preserve teeth with persistent symptoms after endodontic treatment.
- Identifying predictive factors is crucial for successful surgical outcomes.
Conclusions:
- Periapical surgery is a viable option for teeth failing endodontic treatment.
- Careful consideration of indications and prognostic factors is essential for successful apical surgery.
Keywords:
ApicoectomyComplications of apical surgeryMineral trioxide aggregatePeriapical surgerySuper EBA
