Skip to main content
SpringerLink
Log in

Endodontic Microsurgery for Molars

  • Chapter
  • First Online:
The Guidebook to Molar Endodontics

Abstract

For molars that cannot be successfully treated with nonsurgical procedures, endodontic microsurgery may offer a promising alternative. This approach relies on technology, such as the operating microscope, ultrasonic instruments, filling materials, knowledge and manual skills on microsurgery, and guided bone regeneration techniques, all in a structured approach. This process includes a thorough diagnostic workup including a CBCT scan, a sequence of planned treatment steps, and appropriate outcome assessment. In the hands of a skilled operator, endodontic microsurgery enjoys high success rates.

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

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 89.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 119.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 169.99
Price excludes VAT (USA)
  • Durable hardcover 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. Siqueira Jr JF. Aetiology of root canal treatment failure: why well-treated teeth can fail. Int Endod J. 2001;34:1–10.

    Article  PubMed  Google Scholar 

  2. Gorni FG, Gagliani MM. The outcome of endodontic retreatment: a 2-yr follow-up. J Endod. 2004;30:1–4.

    Article  PubMed  Google Scholar 

  3. Merino E. Endodontic microsurgery. Quintessence Pub; 2009; Chapter 6: Treatment of bone defects in apical microsurgery, Berlin. p. 176.

    Google Scholar 

  4. Setzer FC, Shah SB, Kohli MR, Karabucak B, Kim S. Outcome of endodontic surgery: a meta-analysis of the literature-part 1: comparison of traditional root-end surgery and endodontic microsurgery. J Endod. 2010;36:1757–65.

    Article  PubMed  Google Scholar 

  5. Patel S, Durack C, Abella F, Shemesh H, Roig M, Lemberg K. Cone beam computed tomography in endodontics-a review. Int Endod J. 2015;48:3–15.

    Article  PubMed  Google Scholar 

  6. Gutmann JL, Harrison JW. Flap design and incisions. In: Surgical endodontics. Boston: Blackwell; 1991. p. 162–75.

    Google Scholar 

  7. Carr G, Bentkover S. Surgical endodontics. In: Cohen S, Burns R, editors. Pathways of the pulp. St Louis: Mosby; 1998. p. 608–56.

    Google Scholar 

  8. Mörmann W, Meier C, Firestone A. Gingival blood circulation after experimental wounds in man. J Clin Periodontol. 1979;6:417–24.

    Article  PubMed  Google Scholar 

  9. Kim S. Principles of endodontic microsurgery. Dent Clin North Am. 1997;41:481–97.

    PubMed  Google Scholar 

  10. Velvart P, Peters CI, Peters OA. Soft tissue management: suturing and wound closure. Endod Top. 2005;11:179–95.

    Article  Google Scholar 

  11. Merino E. Endodontic microsurgery. Quintessence Pub; 2009; Chapter 3: Microsurgery step by step, Berlin. p. 51.

    Google Scholar 

  12. Arens DE, Adams WR, De Castro RA. Endodontic surgery. New York: Harper & Row; 1984. p. 102–32.

    Google Scholar 

  13. Peters LB, Wesselink PR. Soft tissue management in endodontic surgery. Dent Clin North Am. 1997;41(3):513–28.

    PubMed  Google Scholar 

  14. Ohmori S, Kurata K. Experimental studies on the blood supply to various types of skin grafts in rabbits using isotope 32p. Plast Reconstr Surg. 1960;25:547–55.

    Article  Google Scholar 

  15. Patterson TJ. The survival of skin flaps in the pig. Br J Plast Surg. 1968;21:113–7.

    Article  PubMed  Google Scholar 

  16. Cambruzzi JV, Marshall FJ. Molar endodontic surgery. J Can Dent Assoc. 1983;1:61–6.

    Google Scholar 

  17. Wuchenich M, Torabinejad M. A comparison between two root end preparations techniques in human cadavers. J Endod. 1994;20(6):279–82.

    Article  PubMed  Google Scholar 

  18. Torabinejad M, Pitt Ford TR. Root end fillings materials: a review. Endod Dent Traumatol. 1996;12:161–78.

    Article  PubMed  Google Scholar 

  19. Chen I, Karabucak B, Wang C, Wang HG, Koyama E, Kohli MR, Nah HD, Kim S. Healing after root-end microsurgery by using mineral trioxide aggregate and a new calcium silicate-based bioceramic material as root-end filling materials in dogs. J Endod. 2015;41:389–99.

    Article  PubMed  PubMed Central  Google Scholar 

  20. Rud J, Andreasen JO, Jensen JE. Radiographic criteria for the assessment of healing after endodontic surgery. Int J Oral Surg. 1972;1:195–214.

    Article  PubMed  Google Scholar 

  21. Rud J, Andreasen JO. A study of failures after endodontic surgery by radiographic, histologic and stereomicroscopic methods. Int J Oral Surg. 1972;1:311–28.

    Article  PubMed  Google Scholar 

  22. Molven O, Halse A, Grung B. Surgical management of endodontic failures: indications and treatment results. Int Dent J. 1991;41:33–42.

    PubMed  Google Scholar 

  23. Skoglund A, Persson G. A follow-up study of apicoectomized teeth with total loss of the buccal bone plate. Oral Surg Oral Med Oral Pathol. 1985;59:78–81.

    Article  PubMed  Google Scholar 

  24. Hirsch JM, Ahlstrom U, Henrikson PA, Heyden G, Peterson LE. Periapical surgery. Int J Oral Surg. 1979;8:173–85.

    Article  PubMed  Google Scholar 

  25. Nunes CA, Guedes OA, Alencar AH, Peters OA, Estrela CR, Estrela C. Evaluation of periapical lesions and their association with maxillary sinus abnormalities on cone-beam computed tomographic images. J Endod. 2016;42:42–6.

    Article  PubMed  Google Scholar 

  26. Amercian Association of Endodontists. Glossary of endodontic terms. 2015. Available from http://www.nxtbook.com/nxtbooks/aae/endodonticglossary2015/. Accessed 27 Feb 2016.

  27. Koenig KH, Nguyen NT, Barkhordar RA. Tooth replantation of mandibular molars and premolars. Gen Dent. 1988;36:327–31.

    PubMed  Google Scholar 

  28. Kinsbury BC, Weisenbaught JM. Tooth replantation of mandibular molars and premolars. J Am Dent Assoc. 1971;83:1053–7.

    Article  Google Scholar 

  29. Lindeberg RW, Girardi AF, Troxell JB. Tooth replantation: management in contraindicated cases. Compend Contin Educ. 1986;7:248–58.

    Google Scholar 

  30. Caffesse RG, Nasjleti CE, Castelli WA. Long-term results after intentional tooth reimplantation in monkeys. Oral Surg. 1977;44:666–78.

    Article  PubMed  Google Scholar 

  31. Roos WJ. Tooth replantation: an alternative. Compend Contin Educ. 1985;6:735–9.

    Google Scholar 

  32. Andreasen JO. Relationship between cell damage in the periodontal ligament after replantation and subsequent development of root resorption: a time-related study in monkeys. Acta Odontol Scand. 1981;39:15–25.

    Article  PubMed  Google Scholar 

  33. Andreasen JO. Effect of extra-alveolar period and storage media upon periodontal and pulpal healing after replantation of mature permanent incisors in monkeys. Int J Oral Surg. 1981;10:43–53.

    Article  PubMed  Google Scholar 

  34. Andreasen JO. The effect of pulp extirpation or root canal treatment on periodontal healing after replantation permanent incisors in monkeys. J Endod. 1981;7:245–52.

    Article  PubMed  Google Scholar 

  35. Cho GC. Evidence-based approach for treatment planning options for the extensively damaged dentition. J Calif Dent Assoc. 2004;32:983–90.

    PubMed  Google Scholar 

  36. Danin J, Strömberg T, Forsgren H, Linder LE, Ramsköld LO. Clinical management of nonhealing periradicular pathosis. Surgery versus endodontic retreatment. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 1996;82:213–7.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. European University, Madrid, Spain

    Enrique M. Merino MD, DDS

  2. Complutense University, Madrid, Spain

    Enrique M. Merino MD, DDS

  3. Private Practice, Plaza La Inmaculada, 24001, Leon, Spain

    Enrique M. Merino MD, DDS

Authors
  1. Enrique M. Merino MD, DDS
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Enrique M. Merino MD, DDS .

Editor information

Editors and Affiliations

  1. Department of Endodontics, University of the Pacific Arthur A. Dugoni School of Dentistry, San Francisco, California, USA

    Ove A. Peters

Rights and permissions

Reprints and permissions

Copyright information

© 2017 Springer-Verlag Berlin Heidelberg

About this chapter

Cite this chapter

Merino, E.M. (2017). Endodontic Microsurgery for Molars. In: Peters, O. (eds) The Guidebook to Molar Endodontics. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-52901-0_10

Download citation

  • DOI: https://doi.org/10.1007/978-3-662-52901-0_10

  • Published:

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-662-52899-0

  • Online ISBN: 978-3-662-52901-0

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation