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Minimally Invasive C-Shaped incision as a novel approach for Endodontic Microsurgery: A case report
A Torres1, N Van Caeneghem1, M S Pedano1
1Department of Oral Health Sciences, Endodontology, University Hospitals Leuven, KU Leuven, Leuven, Belgium; Department of Oral Health Sciences, BIOMAT Biomaterials Research Group, KU Leuven, Leuven, Belgium.
Introduction:
Endodontic microsurgery (EMS) is a well-established treatment for persistent periapical pathology when orthograde retreatment is not feasible or has failed. Surgical access is traditionally achieved using a sulcular or submarginal flap. However, these flap designs may be associated with aesthetic limitations and postoperative discomfort.
Methods:
This case report describes the use of a vertical Minimally Invasive C-shaped (MICS) incision as a simple and minimally invasive alternative to the conventional flap designs.
Results:
Its curved configuration facilitates atraumatic flap retraction, maintaining vascular integrity, and enables tension-free primary closure. At 1 year, both cases showed complete periapical healing and healthy soft tissues without scarring or gingival recession.
Conclusion:
The MICS incision represents a promising minimally invasive alternative for conventional flap designs in EMS. Its potential effect on postoperative pain and swelling remains to be investigated.
