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.