Clinical consideration and strategy on endodontic microsurgery
10.3760/cma.j.issn.1002-0098.2019.09.004
- VernacularTitle: 显微根管外科手术相关临床问题的思考
- Author:
Hanguo WANG
1
;
Qing YU
Author Information
1. Department of Operative Dentistry and Endodontics, School of Stomatology, The Fourth Military Medical University & State Key Laboratory of Military Stomatology & National Clinical Research Center for Oral Diseases & Shaanxi Key Laboratory of Stomatology, Xi′an 710032, China
- Publication Type:Journal Article
- Keywords:
Endodontics;
Periapical diseases;
Root canal therapy;
Endodontic microsurgery
- From:
Chinese Journal of Stomatology
2019;54(9):598-604
- CountryChina
- Language:Chinese
-
Abstract:
Root canal therapy is the most widely used method to treat the teeth with pulpal and periapical disorders. However, due to the complexity of root canal system, the existence of extraradicular biofilms and occurrence of true cyst, some teeth with pulpal and periapical diseases couldn′t be treated effectively by non-surgical therapies. Then the combination of the surgical treatment, i.e., endodontic surgery, is necessary. The endodontic microsurgery, under the magnification and illumination provided by the dental operation microscope and with the proper use of micro instruments, ultrasonic retrotips and bioceramics root end filling materials, can treat the teeth with pulpal or periapical disorders precisely and less traumatically with high success rate. This article reviews the indications, contraindications, clinical strategy and latest advancement in endodontic microsurgery.