When the infection is persistent even after doing a good root canal treatment and
is giving pain and discomfort to the person endodontic surgery has to be done to
treat the problem. If we see the statistics only 2 to 5 percent cases actually need
surgery but even that number is very high.
Primary Objective of Endodontic surgeries are:
Eliminate the infection from the tooth and periodontium.
Repair of the damages and prevention of further bone loss.
Establishment of an anatomy of the affected surfaces that facilitates proper self performed plaque control.
1. Surgical drainage
- Incision and drainage
2. Periradicular surgery
- Root-end resection
- Root-end preparation and filling
- Corrective surgery
A. Perforation repair
- Mechanical (iatrogenic)
- Resorptive (internal and external)
B. Root resection
3. Replacement surgery
4. Implant surgery
Patient's Medical Status
The surgical site (mandibular 2nd molar)