Endodontic Surgery and Root Canal Procedures
Classified in Biology
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Steps in Root End Surgery
- Local anesthesia and hemostasis
- Management of soft tissue
- Management of hard tissue
- Surgical access (visual and operative)
- Access to root structure
- Periradicular curettage
- Root end resection
- Root end preparation
- Root end filling
- Soft tissue repositioning and suturing
- Post-surgical care
Root End Preparation
Preparing a cavity to receive root end filling.
According to Carr and Bentkover, this involves a Class I preparation at least 3mm into root dentin with walls parallel to and coincident with the anatomic outline of the pulp space.
Key requirements:
- The apical 3mm of the root canal must be freshly cleaned and shaped.
- The preparation must be parallel to and coincident with the anatomic outline of the pulp space.
- Adequate retention form