Fig. 1


Preoperative X-ray

Fig. 2

Flap steps 

Fig. 3

Periosteal elevator (SIE3+FG V). 

Double-curved periosteal elevator – two different sizes on each endused for a sharp dissection of periosteal tissue, without any tissue damage.

Fig. 4

apex identification

Fig. 5

Surgery phases retrogade ultrasonic preparation

Fig. 6


Obturation video

Fig. 7

Postoperative X-ray

Fig. 8

4 years control  X-ray


Micro apical surgery could be more conservative in many cases when we have heavy coronal restorations ,

 The procedure should be done with high magnification under microscope and right tools for precise and better outcome . 


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 2-C. Barone, T.T. Dao, B.B. Basrani, N. Wang, S. Friedman. Treatment outcome in endodontics: the Toronto study—phases 3, 4, and 5: apical surgery. J Endod, 36 (2010), pp. 28-35

3- S. Friedman. The prognosis and expected outcome of apical surgery. Endod Topics, 11 (2005), pp. 219-262

4- T. von Arx, M. Penarrocha, S. Jensen. Prognostic factors in apical surgery with root-end filling: a meta-analysis. J Endod, 36 (2010), pp. 957-973