Meera Dental Hospital

Endodontic Surgeries

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.

Indications and Types of Surgeries:

1. Surgical drainage
- Incision and drainage
-Cortical trephination
2. Periradicular surgery
- Curettage
- iopsy
- Root-end resection
- Root-end preparation and filling
- Corrective surgery
A. Perforation repair
- Mechanical (iatrogenic)
- Resorptive (internal and external)
B. Root resection
C. Hemisection
3. Replacement surgery
4. Implant surgery

Contraindications:
Patient's Medical Status

Leukemia
Neutropenia
Uncontrolled Diabetes
Recent Heart surgery
Recent Cardiac surgery
Debilitated patients

Postponement

Anticoagulant therapy
Radiation
Pregnancy 1st triamster

Anatomic Considerations

Nasal floor
Maxillary sinus
Proximity to neurovascular bundles
Periodontal Considerations
Anatomic limitations to adequate visual and mechanical access to

The surgical site (mandibular 2nd molar)