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Guided Endodontics: Three-Dimensional Planning and Template-Aided Preparation of Endodontic Access Cavities

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Surgical endodontics.

Sanjeev Bhanderi¹, Kreena Patel²

¹Specialist in Endodontics, Senior Lecturer, ENDO61 Ltd, Specialist Endodontic Practice, Cheshire, UK; University of Central Lancashire, Preston, Lancashire, United Kingdom.

British Dental Journal

|April 11, 2025

Summary

This article reviews surgical applications in endodontics for general dentists, covering apical surgery, perforation repair, root resorption management, intentional replantation, and crown lengthening.

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Area of Science:

Dentistry
Endodontics
Oral Surgery

Background:

Endodontic treatments often require advanced surgical interventions.
General dentists benefit from understanding surgical adjuncts to conventional endodontics.

Purpose of the Study:

To present a comprehensive overview of surgical procedures relevant to endodontic practice.
To equip general dentists with knowledge on managing complex endodontic cases surgically.

Main Methods:

Literature review of established and emerging surgical techniques in endodontics.
Discussion of indications, procedures, and outcomes for each surgical application.

Main Results:

Apical surgery addresses persistent periapical lesions.
Surgical management is crucial for perforations and external cervical root resorption.
Intentional replantation and crown lengthening offer alternative solutions for specific endodontic challenges.

Conclusions:

Surgical endodontics expands treatment options beyond conventional root canal therapy.
Integrating surgical knowledge enhances the scope of practice for general dentists in endodontics.