Skip to main content

Complications in Root-End Management

  • Chapter
  • First Online:
Complications in Endodontic Surgery

Abstract

Root-end management is a fundamental part of endodontic surgery. It involves a root resection, preparation for the root-end cavity, and obturation of the apical root canal. This phase is critical for the resolution of the periapical pathosis, allowing periradicular tissue regeneration including the formation of a new attachment apparatus.

The management of the root end can be divided into different phases (apex resection, retrograde cavity preparation, and apical sealing). In each phase, several complications can occur due to inadequate planning of the procedure, inappropriate technique, or anatomical characteristics of the site. The success of the entire endodontic surgery may be severely influenced by the occurrence of an adverse event during the root-end management.

Complication prevention and early identification can allow an adequate management of such event, allowing a successful procedure.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 99.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 129.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Kim S, Kratchman S. Modern endodontic surgery concepts and practice: a review. J Endod. 2006;32:601–23.

    Article  PubMed  Google Scholar 

  2. Lin S, Platner O, Metzger Z, Tsesis I. Residual bacteria in root apices removed by a diagonal root-end resection: a histopathological evaluation. Int Endod J. 2008;41:469–75.

    Article  PubMed  Google Scholar 

  3. Roy R, Chandler NP, Lin J. Peripheral dentin thickness after root-end cavity preparation. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2008;105:263–6.

    Article  PubMed  Google Scholar 

  4. Kontakiotis EG, Lagoudakos TA, Georgopoulou MK. The influence of root-end resection and root-end cavity preparation on microleakage of root filled teeth in vitro. Int Endod J. 2004;37:403–7.

    Article  PubMed  Google Scholar 

  5. Grossmann Y, Sadan A. The prosthodontic concept of crown-to-root ratio: a review of the literature. J Prosthet Dent. 2005;93:559–62.

    Article  PubMed  Google Scholar 

  6. Stropko JJ, Doyon GE, Gutmann JL. Root-end management: resection, cavity preparation, and material placement. Endod Topics. 2005;11:131–51.

    Article  Google Scholar 

  7. Gilheany PA, Figdor D, Tyas MJ. Apical dentin permeability and microleakage associated with root end resection and retrograde filling. J Endod. 1994;20:22–6.

    Article  PubMed  Google Scholar 

  8. The glossary of prosthodontic terms. J Prosthet Dent. 2005;94:10–92.

    Google Scholar 

  9. Penny RE, Kraal JH. Crown-to-root ratio: its significance in restorative dentistry. J Prosthet Dent. 1979;42:34–8.

    Article  PubMed  Google Scholar 

  10. Cho SY, Kim E. Does apical root resection in endodontic microsurgery jeopardize the prosthodontic prognosis? Restor Dent Endod. 2013;38:59–64.

    Article  PubMed Central  PubMed  Google Scholar 

  11. McGuire MK. Prognosis versus actual outcome: a long-term survey of 100 treated periodontal patients under maintenance care. J Periodontol. 1991;62:51–8.

    Article  PubMed  Google Scholar 

  12. Gutmann JL, Harrison JW. Surgical endodontics. Boston: Blackwell Scientific Publications; 1991.

    Google Scholar 

  13. Vertucci FJ. Root canal anatomy of the human permanent teeth. Oral Surg Oral Med Oral Pathol. 1984;58:589–99.

    Article  PubMed  Google Scholar 

  14. Del Fabbro M, Tsesis I, Rosano G, Bortolin M, Taschieri S. Scanning electron microscopic analysis of the integrity of the root-end surface after root-end management using a piezoelectric device: a cadaveric study. J Endod. 2010;36:1693–7.

    Article  PubMed  Google Scholar 

  15. Torres-Lagares D, Rodriguez-Martos R, Castellanos-Cosano L, Yanez-Vico R, Segura-Egea JJ, Gutierrez-Perez JL. Confocal microscopy: a valid approach to evaluate the three-dimensional characteristics of root-end cavities. Med Oral Patol Oral Cir Bucal. 2013;18:e542–6.

    Article  PubMed Central  PubMed  Google Scholar 

  16. Lin CP, Chou HG, Kuo JC, Lan WH. The quality of ultrasonic root-end preparation: a quantitative study. J Endod. 1998;24:666–70.

    Article  PubMed  Google Scholar 

  17. Wuchenich G, Meadows D, Torabinejad M. A comparison between two root end preparation techniques in human cadavers. J Endod. 1994;20:279–82.

    Article  PubMed  Google Scholar 

  18. Peters CI, Peters OA, Barbakow F. An in vitro study comparing root-end cavities prepared by diamond-coated and stainless steel ultrasonic retrotips. Int Endod J. 2001;34:142–8.

    Article  PubMed  Google Scholar 

  19. Regan JD, Gutmann JL, Witherspoon DE. Comparison of Diaket and MTA when used as root-end filling materials to support regeneration of the periradicular tissues. Int Endod J. 2002;35:840–7.

    Article  PubMed  Google Scholar 

  20. Torabinejad M, Hong CU, Lee SJ, Monsef M, Pitt Ford TR. Investigation of mineral trioxide aggregate for root-end filling in dogs. J Endod. 1995;21:603–8.

    Article  PubMed  Google Scholar 

  21. Chong BS, Pitt Ford TR, Kariyawasam SP. Short-term tissue response to potential root-end filling materials in infected root canals. Int Endod J. 1997;30:240–9.

    Article  PubMed  Google Scholar 

  22. Chong BS, Ford TR, Kariyawasam SP. Tissue response to potential root-end filling materials in infected root canals. Int Endod J. 1997;30:102–14.

    Article  PubMed  Google Scholar 

  23. Chong BS, Pitt Ford TR. Root-end filling materials: rationale and tissue response. Endod Topics. 2005;11:114–30.

    Article  Google Scholar 

  24. Hume WR. Effect of eugenol on respiration and division in human pulp, mouse fibroblasts, and liver cells in vitro. J Dent Res. 1984;63:1262–5.

    Article  PubMed  Google Scholar 

  25. Bruce GR, McDonald NJ, Sydiskis RJ. Cytotoxicity of retrofill materials. J Endod. 1993;19:288–92.

    Article  PubMed  Google Scholar 

  26. Pitt Ford TR, Andreasen JO, Dorn SO, Kariyawasam SP. Effect of super-EBA as a root end filling on healing after replantation. J Endod. 1995;21:13–5.

    Article  PubMed  Google Scholar 

  27. Thomson TS, Berry JE, Somerman MJ, Kirkwood KL. Cementoblasts maintain expression of osteocalcin in the presence of mineral trioxide aggregate. J Endod. 2003;29:407–12.

    Article  PubMed  Google Scholar 

  28. DeGrood ME, Oguntebi BR, Cunningham CJ, Pink R. A comparison of tissue reactions to Ketac-Fil and amalgam. J Endod. 1995;21:65–9.

    Article  PubMed  Google Scholar 

  29. Apaydin ES, Shabahang S, Torabinejad M. Hard-tissue healing after application of fresh or set MTA as root-end-filling material. J Endod. 2004;30:21–4.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Stefano Corbella DDS, PhD .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2014 Springer-Verlag Berlin Heidelberg

About this chapter

Cite this chapter

Corbella, S., Del Fabbro, M., Rosen, E., Taschieri, S. (2014). Complications in Root-End Management. In: Tsesis, I. (eds) Complications in Endodontic Surgery. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-54218-3_9

Download citation

  • DOI: https://doi.org/10.1007/978-3-642-54218-3_9

  • Published:

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-54217-6

  • Online ISBN: 978-3-642-54218-3

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics