Case Selection and Treatment Planning in Endodontic Surgery: Clinical Decision-Making for Saving Teeth

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CE Hours: 1.75

Description: In complex clinical scenarios, some dentists might just go straight to suggesting an extraction and implant. However, many patients still express a strong preference for saving their natural teeth—whether due to personal values, medical conditions, dental anxiety, or financial and philosophical reasons. When non-surgical root canal treatment is not feasible, endodontic microsurgery may offer a useful alternative. This presentation explores a comprehensive approach to case selection and treatment planning in endodontic surgery. Beyond evidence-based principles, a novel stepwise clinical sequence developed by the presenter will be introduced to guide decision-making in challenging cases. Clinical examples will include separated instruments, radicular cysts, root resorption, radicular grooves with periodontal involvement, canal transportation, perforations, and suspected vertical root fractures. Attendees will gain practical strategies for preoperative evaluation such as risk assessment, and surgical planning to achieve predictable, patient-centered outcomes.

Learning Objectives: 

  • Differentiate between various types of complex cases—such as separated instruments, radicular cysts, root resorption, radicular groove, vertical root crack/fracture, perforation/transportation—and determine surgical suitability
  • Apply a stepwise clinical reasoning framework to enhance predictability and success rates in root-end surgery.
  • Apply insights from clinical cases and critical literature reviews to best optimize treatment outcomes.
This content will not be available until 01/15/2026 at 12:00 AM (CST)

Ji Wook Jeong, D.M.D., M.S.D.

Dr. Ji Wook Jeong graduated from Kyunghee University School of Dentistry in Seoul, South Korea, in 2001, and earned his Doctor of Dental Medicine (DMD) degree from the same institution in 2001.He received his Associate Fellowship from the American Academy of Implant Dentistry (AAID) in 2008. Additionally, he served as an instructor and mentor for the Korea MaxiCourse® of the AAID from 2008 to 2012. In 2017, he graduated from the Advanced Program in Endodontics at the University of Texas Health Science Center (UTHSC) at Houston, School of Dentistry, where he earned a Master of Science in Dentistry (MSD) and a certificate in the specialty of Endodontics. Since graduating, he has been working as a full-time faculty member at department of Endodontics, UTHSC Houston. Currently, he serves as the Course director for Endodontic Surgery and the research director for the endodontic residents. He became a diplomate of the American Board of Endodontics in 2019. He is an active member of the Scientific Advisory Board of the Journal of Endodontics, and the Research Committee of the Asian Pacific Endodontic Confederation.

Disclosure(s): No financial relationships to disclose