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Surgical Endodontics
Surgical Endodontics
ENDODONTIC SURGERY
DEFINITION:
It includes:
Abscess drainage
Periapical surgery
Corrective surgery
Root removal
RATIONALE:
OBJECTIVE:
c. Constricted canals
a. Presence of a crown
A. Anesthesia
C. Periapical exposure
D. Periapical curettage
E. Root-end resection
G. Root-end restoration
b. Submarginal ,and
Indications
Maxillary anteriors
Maxillary premolars
Advantages:
Disadvantages:
INDICATIONS:
Maxillary incisors and posterior teeth.
Only recommended flap for mandibular posterior teeth.
ADVANTAGES:
Good wound healing
Ease of flap re-approximation with minimum number
of sutures
DISADVANTAGES:
Limited surgical access
Difficult to expose the root apices of long teeth like
maxillary and mandibular canines
Tension is created on retraction
Gingival attachment violated
2. Rectangular flap
INDICATIONS:
Anterior teeth
Multiple teeth
Teeth with long roots like maxillary canines
Lateral root repairs.
Large lesions
CONTRAINDICATION : Posterior teeth
ADVANTAGES:
Facilitates repositioning
DISADVANTAGES:
Hemorrhage control to be
achieved
IV) Root end resection
Bevel of resection
0-10 degrees
V ) Root end preparation and
restoration
Purpose:
Instruments Used:
Amalgam
Glass ionomer cement
Zinc oxide eugenol cement
Intermediate restorative material (IRM)
Super ethoxybenzoic acid (EBA)
Gutta percha
Mineral trioxide aggregates (MTA)
INSPECTION AT VARYING MAGNIFICATIONS
PRINCIPLES INVOLVING RETRO PREPARATION AND RESTORATION
Tissue compression:
Purpose: