Apicoectomy: A review of clinical concepts and techniques
Apicoectomy is the surgical approach for preserving a tooth with a large periapical lesion which may not be treated with traditional therapy. The goal of apicoectomy is to seal off the root canal system, promoting healing by establishing a barrier between the irritants inside the canal and the peria...
Saved in:
| Main Authors: | , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2025-01-01
|
| Series: | Journal of Oral Research and Review |
| Subjects: | |
| Online Access: | https://journals.lww.com/10.4103/jorr.jorr_14_24 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832087195584823296 |
|---|---|
| author | Vivek Thakur Rahul Kaul |
| author_facet | Vivek Thakur Rahul Kaul |
| author_sort | Vivek Thakur |
| collection | DOAJ |
| description | Apicoectomy is the surgical approach for preserving a tooth with a large periapical lesion which may not be treated with traditional therapy. The goal of apicoectomy is to seal off the root canal system, promoting healing by establishing a barrier between the irritants inside the canal and the periapical tissue. Apicoectomy is a predictable, less expensive alternative to tooth extraction and replacement when done after proper case selection. Locating areas in the root apex that have not been sealed and then appropriately sealing the root apex are crucial steps in apicoectomy. The effectiveness of surgical endodontic therapy has increased as a result of the application of microsurgical tools and techniques. Using a surgical microscope during an apicoectomy is recommended because it provides superior focused illumination of microstructures and enables clear view of the operative field with high magnification. Moreover, lasers and guided microsurgery in apicoectomy provide enhanced periapical healing with a favorable long-term prognosis. The current review describes basic concepts and advanced techniques used for apicoectomy. |
| format | Article |
| id | doaj-art-01fbfd8396434b6882c5a62f6d957b96 |
| institution | Kabale University |
| issn | 2249-4987 2394-2541 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Journal of Oral Research and Review |
| spelling | doaj-art-01fbfd8396434b6882c5a62f6d957b962025-02-06T07:07:48ZengWolters Kluwer Medknow PublicationsJournal of Oral Research and Review2249-49872394-25412025-01-01171778210.4103/jorr.jorr_14_24Apicoectomy: A review of clinical concepts and techniquesVivek ThakurRahul KaulApicoectomy is the surgical approach for preserving a tooth with a large periapical lesion which may not be treated with traditional therapy. The goal of apicoectomy is to seal off the root canal system, promoting healing by establishing a barrier between the irritants inside the canal and the periapical tissue. Apicoectomy is a predictable, less expensive alternative to tooth extraction and replacement when done after proper case selection. Locating areas in the root apex that have not been sealed and then appropriately sealing the root apex are crucial steps in apicoectomy. The effectiveness of surgical endodontic therapy has increased as a result of the application of microsurgical tools and techniques. Using a surgical microscope during an apicoectomy is recommended because it provides superior focused illumination of microstructures and enables clear view of the operative field with high magnification. Moreover, lasers and guided microsurgery in apicoectomy provide enhanced periapical healing with a favorable long-term prognosis. The current review describes basic concepts and advanced techniques used for apicoectomy.https://journals.lww.com/10.4103/jorr.jorr_14_24apicoectomymagnificationmicrosurgicalperiapical lesionroot-end surgery |
| spellingShingle | Vivek Thakur Rahul Kaul Apicoectomy: A review of clinical concepts and techniques Journal of Oral Research and Review apicoectomy magnification microsurgical periapical lesion root-end surgery |
| title | Apicoectomy: A review of clinical concepts and techniques |
| title_full | Apicoectomy: A review of clinical concepts and techniques |
| title_fullStr | Apicoectomy: A review of clinical concepts and techniques |
| title_full_unstemmed | Apicoectomy: A review of clinical concepts and techniques |
| title_short | Apicoectomy: A review of clinical concepts and techniques |
| title_sort | apicoectomy a review of clinical concepts and techniques |
| topic | apicoectomy magnification microsurgical periapical lesion root-end surgery |
| url | https://journals.lww.com/10.4103/jorr.jorr_14_24 |
| work_keys_str_mv | AT vivekthakur apicoectomyareviewofclinicalconceptsandtechniques AT rahulkaul apicoectomyareviewofclinicalconceptsandtechniques |