Apicoectomy

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Apicoectomy
Intervention
Teeth molar47 46resection crown premolar45.jpg
Molar 46 after root end surgery
ICD-9-CM23.7
MeSHD001047
 
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Apicoectomy
Intervention
Teeth molar47 46resection crown premolar45.jpg
Molar 46 after root end surgery
ICD-9-CM23.7
MeSHD001047

A root end surgery, also known as apicoectomy (L. apex, apicis: a summit or a tip), is an endodontic surgical procedure whereby a tooth's root tip is removed and a root end cavity is prepared and filled with a biocompatible material.

To get perfection, surgery is performed using a microscope and hence is also called endodontic microsurgery.

This is usually necessitated when a conventional root canal therapy had failed and a re-treatment was already unsuccessful or is not advised.[1] State-of-the-art procedures make use of microsurgical techniques, such as a dental operating microscope, micro instruments, ultrasonic preparation tips and calcium-silicate based filling materials.

Removal of the root tip is indicated to remove the entire apical delta ensuring no uncleaned missed anatomy.

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