Par KHAYAT Bertrand, JOUANNY Guillaume
Livre en Anglais
The goal of any endodontic treatment is the prevention and treatment of apical
periodontitis. Apical periodontitis is the result of an inflammatory reaction in periapical
tissues due to the presence of microorganisms in the root canals. The aim of endodontic
treatment is to eliminate these microorganisms as much as possible and prevent their
development. Endodontic surgery seeks to fulfill the same objectives and in this sense is
an endodontic treatment in its own right.
Faced with a situation where the pathology of endodontic origin persists after the
initial treatment, several solutions are possible: extraction, conventional orthograde
retreatment, or endodontic surgery. The traditional attitude of always first retreating
regardless of the clinical situation, is based on the idea that endodontic surgery is a
technique with unpredictable results, and represents the last treatment option.
A paradigm shift has occurred in recent years. Instruments, techniques, materials have
evolved and the success rate of endodontic surgery has increased significantly to the
point of being equivalent to that of conventional endodontics. Endodontic surgery has
become a reliable option when it is well indicated. In the case of persistent endodontic
pathology, instead of considering only conventional retreatment or tooth extraction, it is
now mandatory to consider endodontic surgery as a reliable and conservative solution
that should be offered to our patients.