Endodontic Surgery: Is it an Obsolete Clinical Procedure?

Abstract

Endodontic surgery has developed the perception as an unnecessary procedure, with the emergence of implants. This opinion has been based on endodontic surgery being performed using obsolete concepts and techniques that compromised the potential for clinical success, frequently resulting in the persistence of patient symptoms, periapical pathology, and, ultimately, extraction of the treated tooth. With the emerging concepts of magnification, advanced principles of soft and hard tissue management, use of tissue regenerative root-end filling materials, and enhanced principles of wound closure, surgical endodontics has emerged as a highly predictable and comparatively painless procedure. Periapical surgery should be regarded as the method of choice when orthograde endodontic therapy cannot be performed. The present study describes indications of endodontic surgery and a few cases successfully managed using endodontic surgery.

Surgical Management of Periapical Lesion: A Case Report

“…An apical root canal system can be sealed in the retrograde filling. [8] Kim and Kratchman (2006) argued that a surgical approach is more conservative than non-surgical treatment for certain cases. 1 Periapical surgery is successful in 25-99% cases and success is influenced by various factors such as tooth involved, quality of root filling, complex root anatomy, apical repair etc.…”

Antimicrobial Activity of Chlorhexidine and Herbal Mouthwash Against the Adherence of Microorganism to Sutures After Periodontal Surgery: A Clinical Microbiological Study

“…The tendency for microbial attachment and accumulation on suture material is one of the most important problems in the healing period. Bacteria and debris that attach to or lodge between the suture materials could delay repair and maintain infection [ 14 ]. Thus, in the present study, an attempt has been made to compare the efficacy of chlorhexidine, herbal mouthwash, and plain water against the adherence of microorganisms to the suture material after periodontal surgery.…”