Approach to the lesion in surgical endodontic treatment

―Back to the basics of oral surgery techniques―

Abstract

Surgical endodontics is classified into apical resection, intentional replantation, and transplantation, and the most common clinical procedure is apical resection. The success or failure of root apex resection depends on the approach to the lesion. Thus, a sufficient surgical field and reliable hemostasis are important. However, there is no clear information on report on how to place a sufficient incision line for securing the visual field and how to deploy a mucoperiosteal flap with less bleeding. This paper briefly summarizes basic surgical procedures, including how to place the incision line, how to deploy the mucoperiosteal flap, and how to control hemostasis, as well as the indications and perioperative management for apical resection.