Year : 2022

Volume : Volume 13

Issue : Issue 4

Address for correspondence :
Dr. Supriya R. Zanjad
supriyazanjad@gmail.com

Abstract

The classic view that endodontic surgery is a last reserve is based on past experience with collateral unsuitable surgical instruments, inadequate vision, frequent postoperative complications, and failures that often resulted in extraction of the tooth. Thereby, the surgical approach to endodontic therapy, or surgical endodontics, was taught with minimum enthusiasm at dental schools and was practiced by very few in private practices. Stated simply, endodontic surgery was not considered to be important within the endodontist domain. In this review, we attempted to provide the most current concepts, instruments, techniques, and materials. The ultimate goal is to assertively teach the future generation of graduate students and to introduce themselves to the new era of microsurgical endodontics and also train our colleagues to incorporate these techniques and concepts for lucrative healing and much better prognosis. Endodontic microsurgery has emerged as predictable treatment option which can be performed with accuracy with advanced microsurgical instrument and magnification, giving an option to the tooth that earlier used to be considered for extraction. The concurrent development of better techniques has resulted in greater understanding of the apical anatomy, greater treatment success, and a more favorable patient response. These developments marked the beginning of the endodontic microsurgery era that began in the 1990s. There is a considerable difference in surgery outcome between those using the dental operating microscope and those do not. Use of advanced techniques and technologies like a microscope, specially designed microinstruments, newer advanced and biocompatible root end filling materials help faster wound healing with lesser post-operative complication.

Keywords: Dental operating microscope, Magnification, Illumination microsurgery.