2017 年 8 巻 1 号 p. 6-10
Recently, microscopes are using for dental treatment and many materials and methods were developed. In endodontic therapy, success ratio were increased using microscope, however, invasion of endodontic surgery to patients is still problem. If patient tooth has morphological problem or huge cyst at upper molar palatal root, basically we have to select intentional replantation or extraction. In these difficult cases, we developed new method named internal apicoectomy. We never give surgical damage to patient, root apical is cut off by long shank round bur via root canal, and remove apical lesion, gutta-percha and any problem materials under microscope. Finally, root canal including apical part was filled by MTA. We have been procedure 20 cases internal apicoectomy, and good prognosis was obtained in all cases.