SP-27 Beyond the Textbook: Problem-solving Strategies in Endodontic Microsurgery
CE Hours: 0.75
Description: Success in endodontic microsurgery often depends on the ability to adapt when faced with non-routine clinical situations. This session focuses on managing cases that fall outside textbook scenarios. Through case-based discussion, we will explore challenges such as sinus proximity and perforation, instrument and silver point retrieval, calcified canals, and surgery involving anatomically complex teeth or regions. The role of hybrid and advanced flap designs to enhance soft tissue healing and access will be explored. Special emphasis will be placed on identifying cases requiring guided bone regeneration (GBR), particularly in the presence of apicomarginal defects or cemental tears. This session aims to provide practical strategies for managing the unexpected while maintaining surgical precision and predictability.
Learning Objectives:
- Discuss approaches to managing broken instruments, apical silver points, and calcified canals during apical microsurgery.
- Describe when and how to modify flap design to improve access and healing.
- Explain when guided bone regeneration should be integrated into surgical treatment.
Key:
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LockedRizos Tzourmanas, D.D.S, MSc
Rizos Tzourmanas is an endodontist currently working in private practice in Ghent, Belgium. He received his dental degree from the National and Kapodistrian University of Athens and subsequently completed a three-year postgraduate specialization program in endodontics at the University of Ghent, graduating in 2020. His clinical interests are focused on endodontic microsurgery, with particular emphasis on soft tissue management, as well as on the integration of laser technology into daily practice to promote more minimally invasive approaches in endodontics.
Disclosure(s): No financial relationships to disclose
Thanos Fasoulas, DDS, MSc
Dr. Thanos Fasoulas is a practicing endodontist based in Amsterdam, the Netherlands. He earned his DDS from Aristotle University of Thessaloniki, Greece in 2014, and completed a three-year postgraduate residency in endodontics at the University of Ghent, Belgium in 2021. Dr. Fasoulas currently works in private practice with a clinical focus on endodontic microsurgery and implant dentistry.
Disclosure(s): No financial relationships to disclose