S-2 Management of Complex Surgery Cases- Part II

CE Hours: 1.5

Description: Endodontic Microsurgery can be the only treatment option to remove a persistent apical lesion and address the endodontic disease, especially if a nonsurgical retreatment attempt might compromise the prognosis of the tooth.  Missed apical anatomy,  resorptive areas along the root, complete canal blockage,  multiple iatrogenic mishaps on a single tooth and anatomical irregularities are some of the conditions that can be efficiently managed with modern microsurgical protocols.  At the same time, cases with persistent infections caused by severe endodontic-periodontal pathology or  a failed previous surgery can turn into success if a strict microsurgical protocol is applied. A correct diagnosis based on the CBCT and a careful case selection to implement microsurgery can lead to a predictable healing for lesions of endodontic origin.   Execution of surgical retreatment might be very challenging for certain complex cases. This comprehensive lecture aims to highlight the clinical approach for challenging cases with previous failed endodontic intervention and persistent periradicular pathology. A rationale for the management of this kind of cases will be thoroughly discussed.

Learning Objectives:  

• Describe the reasons for failure and clinical findings during surgery in complex endodontic cases.
• Provide an answer to clinical dilemmas and develop a strategy for management of surgical endodontic treatment in challenging cases.
• Explain the rationale for proper case selection ιn the surgical treatment of lesions of endodontic origin.