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Published in: Current Oral Health Reports 4/2019

01-12-2019 | Modern Approaches to Endodontics (S Kim and B Karabucak, Section Editors)

Endodontic microsurgery: outcomes and prognostic factors

Authors: Euiseong Kim, Yaelim Kim

Published in: Current Oral Health Reports | Issue 4/2019

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Abstract

Purpose of Review

This review addresses endodontic microsurgery procedures compared with traditional surgery and aims to review factors related to the success and failure of endodontic microsurgery from the existing literature.

Recent Findings

Periodontal involvement and tooth position are patient- and tooth-related factors known to have an effect on the outcome of apical surgery. Factors related to successful outcome have been reported and include whether the mineral trioxide aggregate used to obturate the apical portion of the root after surgery was fast or slow setting. Although not statistically significant, larger difference in the success rate between slow- and fast-setting MTA groups was observed in teeth with endodontic-periodontal lesions than in teeth with isolated endodontic lesions suggesting that the faster setting root-end filling material is most advantageous, particularly when endodontic lesions have periodontal involvement.

Summary

Endodontic microsurgery has witnessed major advances and is currently regarded as an integral part of standard endodontic treatment. Improved visibility and illumination because of the operating microscope, advances in ultrasonic instrument technology, and the development of more biocompatible root-end filling materials have contributed to the technical advances that have led to higher success rates in endodontic microsurgery compared with traditional surgery.
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Metadata
Title
Endodontic microsurgery: outcomes and prognostic factors
Authors
Euiseong Kim
Yaelim Kim
Publication date
01-12-2019
Publisher
Springer International Publishing
Published in
Current Oral Health Reports / Issue 4/2019
Electronic ISSN: 2196-3002
DOI
https://doi.org/10.1007/s40496-019-00240-7

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