Performing apical surgery has become much more predictable due to the new technology in endodontics, involving the operating microscope and microsurgical instruments. The lecture will cover all the basic points of endodontic surgery, from case selection to armamentarium and show each step to performing successful apical surgery. We will show new hemostatic agents and bio-compatible root end filling material as well as discussing important clinical tips like patient positioning and access to difficult areas, such as palatal surgery and surgery involving the sinuses. We will also discuss safe management of the mental nerve. Many clinical cases will be shown, utilizing these techniques, as well as a series of cases using various bone grafting/membrane materials, surgical perforation repairs and differences between traditional apical surgery and endodontic microsurgery. Success rates/prognosis with current surgical techniques will be discussed.
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