Endodontic surgery Flashcards

1
Q

Definition of endodontic surgery

A
  • Procedures involving resection of root apex(apicectomy) and retrograde obturation of root canal
  • Persistent disease that was not been conventionally resolved
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2
Q

Main categories of Endodontic surgical procedures

A
  • Periapical currettage of persistent periradicular disease
  • Surgical repair of root surface irregularities
  • Root resection of posterior teeth to remove diseased roots
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3
Q

Initial assessment for endodontic surgery

A
  • Presence of infection
  • Swelling
  • Sinus tract
  • Caries status
  • Presence and quality of coronal restoration on tooth requiring surgery
  • Periodontal status
  • Occlusion
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4
Q

Indications for periapical surgery

A
  • Conventional root canal failure
  • Periapical radiolucency persists
  • Prolonged symtoms
  • Retreatment impossible
  • Perforation of root or pulp chamber which cannot be treated
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4
Q

Contraindications for Endodontic surgery

A
  • Local anatomical factors-inaccessible root
  • Tooth w/ inadequate periodontal support
  • Uncooperative patient
  • Compromising medical condition
  • Tooth unrestorable
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