Surgical Endodontics on Teeth 2.4 and 2.5 with Symptomatic Apical Periodontitis Following Failed Previous Surgery
Surgical endodontics represents a predictable treatment option in cases of persistent apical periodontitis when orthograde retreatment is not feasible or has previously failed. The introduction of microsurgical techniques, including magnification, ultrasonic retro-preparation, and the use of bioceramic materials, has significantly improved clinical outcomes and long-term success rates. However, failure of initial surgical endodontic procedures may […]
Endodontic management of tooth 2.5 in a patient taking bisphosphonates.
Bisphosphonate-related osteonecrosis of the jaws (BRONJ) is seen occasionally in bisphosphonate-receiving patients for several medical conditions such as osteoporosis, Paget’s disease or metastatic cancer. The term BRONJ was later changed to MRONJ (medication-related osteonecrosis of the jaws), including the growing number of gnathic osteonecrosis cases associated with other antiresorptive (denosumab) and antiangiogenic medications. Pre-existing pathological […]
Do lateral canals matter?
The importance of treating lateral canals has been a long lasting debate between endodontists. From Schilder and Wein debates in the 80s to nowadays debates between Castellucci and Ricucci, the same question arises. Do laterals matter for the outcome of endodontic treatment?
Surgical management of Chronic Apical Periodontitis Due to an untreated Lateral Canal: A case report with 6-Month Radiographic Follow-Up
Surgical treatment of apical periodontitis caused by a lateral canal, highlighting CBCT planning and bioceramic sealing for complete healing
Endodontic Surgery: A Conservative Solution in Some Cases for Preserving Natural Teeth
A patient recently visited our clinic with a complaint of persistent pain in the upper right lateral incisor. Upon examination, we discovered a granuloma at the root of the affected tooth. After careful evaluation, we proposed endodontic surgery as the most conservative solution to address the issue. This approach aims to preserve the natural tooth […]
Endodontic surgery of the lower incisor: how important is it to verify the presence of a lingual canal?
The surgery of lower incisors should be performed carefully, assessing the possible presence of lingual canals, and avoiding the mistake of underpreparation by not adequately evaluating the clinical situation
Endodontic surgery of an inferior central incisor
Apical surgery is an option for the management of endodontically-treated tooth with persistent periapical lesions or symptom/sign. Several epidemiological studies have suggested that 33–60% of endodontically-treated teeth still presented the pictures of apical periodontitis. The possible causes may be persistent primary infection, secondary infection after endodontic therapy, vertical root fracture or cemental tears. The success […]