Year : 2024

Volume : Volume 15

Issue : Issue 1

Address for correspondence :
Dr. Krishna Govind Kotalwar
drkrishnakotalwar500@gmail.com

Abstract

Periapical endodontic surgery (apical osteotomy, apicoectomy, apicectomy, and root excision) is used to treat apical periodontitis when orthograde endodontics has been completed. Surgery is an important element of endodontics since it allows us to keep our natural teeth for as long as feasible. Not all periapical lesions are truly endodontic in nature and can be treated non-surgically. The indications for doing the procedure have evolved as new devices and techniques have been developed. Clinicians must be aware of these peculiarities when dealing with patients who have a diverse medical history or anatomical variances. They should be prepared to deal with discomfort and problems during and after surgery. Furthermore, the use of microsurgical techniques in apical surgery, such as mild incision and flap elevation, the creation of a tiny osteotomy, and the use of sonicor ultrasonic-driven microtips, results in less trauma to the patient and faster postsurgical healing. A critical step in apical surgery is identifying potential leaking spots at the cut root face and ensuring proper root-end filling. Only periapical healing with a good long-term prognosis is possible with a tight and persistent apical obturation. The current indications, procedures, and outcomes of apical surgery are discussed in this paper.