Journal of Endodontics
Volume 32, Issue 7 , Pages 601-623 , July 2006

Modern Endodontic Surgery Concepts and Practice: A Review

  • Syngcuk Kim, DDS, PhD, MD(hon)

      Affiliations

    • Corresponding Author InformationAddress requests for reprint to Syngcuk Kim, DDS, PhD, MD, Louis I. Grossman Professor and Chair, Director, Microscope Training Center, Department of Endodontics, School of Dental Medicine, University of Pennsylvania, Philadelphia, PA 19008.
  • ,
  • Samuel Kratchman, DMD

References 

  1. Kim S , Pecora G , Rubinstein R . Comparison of traditional and microsurgery in endodontics . In:  Kim S ,  Pecora G ,  Rubinstein R editor. Color atlas of microsurgery in endodontics . Philadelphia: W.B. Saunders; 2001;p. 5–11
  2. Kim S . Principles of endodontic microsurgery . Dent Clin North Am . 1997;41:481–497
  3. Rubinstein RA , Kim S . Short-term observation of the results of endodontic surgery with the use of a surgical operation microscope and Super-EBA as root-end filling material . J Endod . 1999;25:43–48
  4. Carr GB . Microscope in endodontics . J Calif Dent Assoc . 1992;20:55–61
  5. Carr GB . Surgical endodontics . In:  Cohen S ,  Burns R editor. Pathways of the pulp . 6th ed.. St Louis: Mosby; 1994;p. 531
  6. Saunders WP , Saunders EM . Coronal leakage as a cause of failure in root-canal therapy (a review) . Endod and Dent Traumatology . 1994;10:105–108
  7. Kerekes K , Tronstad L . Long-term results of endodontic treatment performed with a standardized technique . J Endod . 1979;5:83–90
  8. Jokinen MA , Kotilainen R , Poikkeus P , et al.   Clinical and radiographic study of pulpectomy and root canal therapy . Scand J Dent Res . 1978;86:366–373
  9. Bergenholtz G , Lekholm U , Milthon R , Heden G , Odesjo B , Engstrom B . Retreatment of endodontic fillings . Scand J Dent Res . 1979;87:217–224
  10. Gorni FG , Gagliani MM . The outcome of endodontic retreatment (a 2-yr follow-up) . J Endod . 2004;30:1–4
  11. Nair PN . New perspectives on radicular cysts (do they heal?) . Int Endod J . 1998;31:155–160
  12. Nair PN . Non-microbial etiology (foreign body reaction maintaining post-treatment apical periodontitis) . Endod Topics . 2003;6:114–134
  13. Nair PN , Pajarola G , Schroeder HE . Types and incidence of human periapical lesions obtained with extracted teeth . Oral Surg Oral Med Oral Pathol Oral Radiol Endod . 1996;81:93–102
  14. Nair PN . New perspectives on radicular cysts (do they heal?) . Int Endod J . 1998;31:155–160
  15. Nair PN . Pathogenesis of apical periodontitis and the causes of endodontic failures . Crit Rev Oral Biol Med . 2004;15:348–381
  16. Nair PN , Sjogren U , Schumacher E , Sundqvist G . Radicular cyst affecting a root-filled human tooth (a long-term post-treatment follow-up) . Int Endod J . 1993;26:225–233
  17. Simon JH . Incidence of periapical cysts in relation to the root canal . J Endod . 1980;6:845–848
  18. Pecora G , Andreana S . Use of dental operating microscope in endodontic surgery . Oral Surg Oral Med Oral Pathol . 1993;75:751–758
  19. Chong BS , Pitt Ford TR , Hudson MB . A prospective clinical study of Mineral Trioxide Aggregate and IRM when used as root-end filling materials in endodontic surgery . Int Endod J . 2003;36:520–526
  20. Testori T , Capelli M , Milani S , Weinstein RL . Success and failure in periradicular surgery (a longitudinal retrospective analysis) . Oral Surg Oral Med Oral Pathol Oral Radiol Endod . 1999;87:493–498
  21. Wang N , Knight K , Dao T , Friedman S . Treatment outcome in endodontics: the Toronto Study. Phases I and II: apical surgery . J Endod . 2004;30:751–761
  22. Commission on Dental Accreditation of the American Dental Association. Standards for Advanced Specialty Education Programs in Endodontics. 1998;(revised 2004).
  23. Buckley JA , Ciancio SG , McMullen JA . Efficacy of epinephrine concentration on local anesthesia during periodontal surgery . J Periodontol . 1984;55:653–657
  24. Gutmann JL . Parameters of achieving quality anesthesia and hemostasis in surgical endodontics . Anesth Pain Control Dent . 1993;2:223–226
  25. Troullos ES , Goldstein DS , Hargreaves KM , Dionne RA . Plasma epinephrine levels and cardiovascular response to high administered doses of epinephrine contained in local anesthesia . Anesth Prog . 1987;34:10–13
  26. Holroyd SV , Watts DT , Welch JT . The use of epinephrine in local anesthetics for dental patients with cardiovascular disease (a review of the literature) . J Oral Surg Anesth Hosp Dent Serv . 1960;18:492–503
  27. Malamed S . Handbook of local anesthesia . 1st ed.. St. Louis: C.V. Mosby Co; 1980;
  28. Dionne RA , Goldstein DS , Wirdzek PR . Effects of diazepam premedication and epinephrine-containing local anesthetic on cardiovascular and plasma catecholamine responses to oral surgery . Anesth Analg . 1984;63:640–646
  29. Witherspoon DE , Gutmann JL . Hemostasis in periradicular surgery . Int Endod J . 1996;29:135–149
  30. Jastak JT , Yagiela JA . Vasoconstrictors and local anesthesia (a review and rationale for use) . J Am Dent Assoc . 1983;107:623–630
  31. Kim S , Rethnam S . Hemostasis in endodontic microsurgery . Dent Clin North Am . 1997;41:499–511
  32. Vy CH , Baumgartner JC , Marshall JG . Cardiovascular effects and efficacy of a hemostatic agent in periradicular surgery . J Endod . 2004;30:379–383
  33. Horsley V . Antiseptic wax . BMJ . 1892;1:1165
  34. Selden HS . Bone wax as an effective hemostat in periapical surgery . Oral Surg Oral Med Oral Pathol . 1970;29:262–264
  35. Ibarrola JL , Bjorenson JE , Austin BP , Gerstein H . Osseous reactions to three hemostatic agents . J Endod . 1985;11:75–83
  36. Besner E . Systemic effects of racemic epinephrine when applied to the bone cavity during periapical surgery . Va Dent J . 1972;49:9–12
  37. Evans BE . Local hemostatic agents . N Y J Dent . 1977;47:109–114
  38. Lemon RR , Steele PJ , Jeansonne BG . Ferric sulfate hemostasis: effect on osseous wound healing: I. left in situ for maximum exposure . J Endod . 1993;19:170–173
  39. Kramper BJ , Kaminski EJ , Osetek EM , Heuer MA . A comparative study of the wound healing of three types of flap design used in periapical surgery . J Endod . 1984;10:17–25
  40. Velvart P . Papilla base incision (a new approach to recession-free healing of the interdental papilla after endodontic surgery) . Int Endod J . 2002;35:453–480
  41. Guttmann JL , Harrison JW . Surgical Endodontics . Boston: Blackwell Scientific Publications; 1991;
  42. Lubow RM , Wayman BE , Cooley RL . Endodontic falp design (analysis and recommendations for current usage) . Oral Surg . 1984;58:207–212
  43. Zimmermann U , Ebner JP , Velvart P . Papilla healing following sulcular full thickness flap in endodontic surgery . J Endod . 2001;27:219
  44. Velvart P , Ebner-Zimmermann U , Ebner JP . Comparison of long-term papilla healing following sulcular full thickness flap and papilla base flap in endodontic surgery . Int Endod J . 2004;37:687–693
  45. Velvart P , Peters CI . Soft tissue management in endodontic surgery . J Endod . 2005;31:4–16
  46. Boyne P , Lyon H , Miller C . The effects of osseous implant materials on regeneration of alveolar cortex . Oral Surg Oral Med Oral Pathol . 1961;xx:369–378
  47. Hjorting-Hansen E . Studies on implantation of anorganic bone in cystic jaw lesions. . 1970; (Thesis) Munksgaard, Copenhagen
  48. Hjorting-Hansen E , Andreasen JO . Incomplete bone healing of experimental cavities in dog mandibles . Br J Oral Surg . 1971;9:33–40
  49. Rud J , Andreasen JO . A study of failures after endodontic surgery by radiographic, histologic and stereomicroscopic methods . Int J Oral Surg . 1972;1:311–328
  50. Gutmann JL , Harrison JW . Posterior endodontic surgery (anatomical considerations and clinical techniques) . Int Endod J . 1985;18:8–34
  51. Gutmann JL , Pitt Ford TR . Management of the resected root end (a clinical review) . Int Endod J . 1993;26:273–283
  52. Gutmann JL , Harrison JW . Periradicular curettage, root-end resection, root-end filling . In:  Guttmann JL ,  Harrison JW editor. Surgical endodontics . Boston: Blackwell Scientific Publications; 1991;p. 208–213
  53. Kim S . Endodontic microsurgery . In:  Cohen S ,  Burns R editor. Pathways of the pulp . 8th ed.. St Louis: Mosby; 2002;p. 683–721
  54. Gilheany PA , Figdor D , Tyas MJ . Apical dentin permeability and microleakage associated with root end resection and retrograde filling . J Endod . 1994;20:22–26
  55. Hsu YY , Kim S . The resected root surface. The issue of canal isthmuses . Dent Clin North Am . 1997;41:529–540
  56. Altonen M , Mattila K . Follow-up study of apicoectomized molars . Int J Oral Surg . 1976;5:33–40
  57. Lustmann J , Friedman S , Shaharabany V . Relation of pre- and intraoperative factors to prognosis of posterior apical surgery . J Endod . 1991;17:239–241
  58. Rahbaran S , Gilthorpe MS , Harrison SD , Gulabivala K . Comparison of clinical outcome of periapical surgery in endodontic and oral surgery units of a teaching dental hospital (a retrospective study) . Oral Surg Oral Med Oral Pathol Oral Radiol Endod . 2001;91:700–709
  59. Rapp EL , Brown CE , Newton CW . An analysis of success and failure of apicoectomies . J Endod . 1991;17:508–512
  60. August DS . Long-term, postsurgical results on teeth with periapical radiolucencies . J Endod . 1996;22:380–383
  61. Merriam Webster’s Collegiate Dictionary . 10th ed.. 1993; Springfield, Merriam Webster
  62. Green D . Double canals in single roots . Oral Surg Oral Med Oral Pathol . 1973;35:689–696
  63. Pineda F . Roentgenographic investigation of the mesiobuccal root of the maxillary first molar . Oral Surg Oral Med Oral Pathol . 1973;36:253–260
  64. Vertucci FJ . Root canal anatomy of the human permanent teeth . Oral Surg Oral Med Oral Pathol . 1984;58:589–599
  65. Weller RN , Niemczyk SP , Kim S . Incidence and position of the canal isthmus: part 1. Mesiobuccal root of the maxillary first molar . J Endod . 1995;21:380–383
  66. Cambruzzi JV , Marshall FJ . Molar endodontic surgery . J Can Dent Assoc . 1983;1:61–66
  67. Carr GB . Ultrasonic root end preparation . Dent Clin North Am . 1997;41:541–544
  68. Von Arx T , Kurt B . Root-end cavity preparation after apicoectomy using a new type of sonic and diamond-surfaced retrotip (a 1-year follow-up study) . J Oral Maxillofac Surg . 1999;57:656–661
  69. Richman MJ . The use of ultrasonics in root canal therapy and resection . J Dent Med . 1957;12:12–18
  70. Engel TK , Steiman HR . Preliminary investigation of ultrasonic root-end preparation . J Endod . 1995;21:443–448
  71. Wuchenich G , Meadows D , Torabinejad M . A comparison between two root end preparation techniques in human cadavers . J Endod . 1994;20:279–282
  72. Saunders WP , Saunders M , Gutmann JL . Ultrasonic root end preparation (part 2-microleakage of EBA root end fillings) . Int Endod J . 1994;27:325–329
  73. Layton CA , Marshall G , Morgan L , Baumgartner C . Evaluation of cracks associated with ultrasonic root end preparations . J Endod . 1996;22:157–160
  74. Waplington M , Lumley PJ , Walmsley AD , Blunt L . Cutting ability of an ultrasonic retrograde cavity preparation instrument . Endod Dent Traumatol . 1995;11:177–180
  75. Min MM , Brown CE , Legan JJ , Kafrawy AH . In vitro evaluation of effects of ultrasonic root end preparation on resected root surfaces . J Endod . 1997;23:624–628
  76. Gray JG , Hatton J , Holtzmann DJ , Jenkins DB , Neilsen CJ . Quality of root end preparations using ultrasonic and rotary instrumentations in cadavers . J Endod . 2000;26:281–283
  77. Calzonetti KJ , Iwanowski T , Komorowski R , Friedman S . Ultrasonic root-end cavity preparation assessed by an in situ impression technique . Oral Surg Oral Med Oral Pathol Oral Radiol Endod . 1998;85:210–215
  78. Morgan LA , Marshall JG . A scanning electron microscopic study of in vivo ultrasonic root-end preparations . J Endod . 1999;25:567–570
  79. Navarre SW , Steiman R . Root-end fracture during retropreparation (a comparison between zirconium nitride-coated and stainless steel microsurgical ultrasonic instruments) . J Endod . 2002;28:330–332
  80. Peters CI , Peters OA , Barbakow F . An in vitro study comparing root-end cavities prepared by diamond coated and stainless steel ultrasonic retrotips . Int Endod J . 2001;34:142–148
  81. Brent PD , Morgan LA , Marshall JG , Baumgartner JC . Evaluation of diamond-coated ultrasonic instruments for the root-end preparation . J Endod . 1999;25:672–675
  82. Zuolo ML , Ferreira MO , Gutmann JL . Prognosis in periradicular surgery (a clinical prospective study) . Int Endod J . 2000;33:91–98
  83. Torabinejad M , Pitt Ford TR . Root end filling materials (a review) . Endod Dent Traumatol . 1996;12:161–178
  84. Szeremeta-Brower TL , VanCura JE , Zaki AE . A comparison of the sealing properties of different retrograde techniques (an autoradiographic study) . Oral Surg Oral Med oral Pathol . 1985;59:82–87
  85. Bondra DL , Hartwell GR , MacPherson MG , Portell FR . Leakage in vitro with IRM, high copper amalgam, and EBA cement as retrofilling materials . J Endod . 1989;15:157–160
  86. Pitt Ford TR , Andreasen JO , Dorn SO , Kariyawasam SP . Effect of IRM root-end fillings on healing after replantation . J Endod . 1994;20:381–385
  87. Pitt Ford TR , Andreasen JO , Dorn SO , Kariyawasam SP . Effect of Super EBA as a root-end filling on healing after replantation . J Endod . 1995;21:13–15
  88. Torabinejad M , Hong CU , Pitt Ford TR , Kettering JD . Cytotoxicity of four root end filling materials . J Endod . 1995;21:489–492
  89. Torabinejad M , Hong CU , Pitt Ford TR , Kaiyawasam SP . Tissue reaction to implanted super-EBA and mineral trioxide aggregate in the mandible of guinea pigs (a preliminary report) . J Endod . 1995;21:569–571
  90. Torabinejad M , Rastegar AF , Kettering JD , Pitt Ford TR . Bacterial leakage of mineral trioxide aggregate as a root-end filling material . J Endod . 1995;21:109–112
  91. Torabinejad M , Chivian N . Clinical applications of mineral trioxide aggregate . J Endod . 1999;25:197–205
  92. Torabinejad M , Pitt Ford TR , McKendry DJ , Abedi HR , Miller DA , Kariyawasam SP . Histologic assessment of mineral trioxide aggregate as a root-end filling in monkeys . J Endod . 1997;23:225–228
  93. Thomson TS , Berry JE , Somerman MJ , Kirkwood KL . Cementoblasts maintain expression of osteocalcin in the presence of mineral trioxide aggregate . J Endod . 2003;29:407–412
  94. Baek SH , Plenk H , Kim S . Periapical tissue responses and cementum regeneration with amalgam, SuperEBA, and MTA as root-end filling materials . J Endod . 2005;31:444–449
  95. Shin S . In vitro studies addressing cellular mechanisms underlying the bone and dentin inductive property of mineral trioxide aggregate. Master thesis in oral biology. . University of Pennsylvania; 2004; (Thesis)
  96. Camilleri J , Montesin FE , Brady K , Sweeney R , Curtis RV , Ford TR . The constitution of mineral trioxide aggregate . Dent Mater . 2005;21:297–303
  97. Asgary S , Parirokh M , Eghbal MJ , Brink F . Chemical differences between white and gray mineral trioxide aggregate . J Endod . 2005;31:101–103
  98. Pérez AL , Spears R , Gutmann JL , Opperman LA . Osteoblasts and MG-63 osteosarcoma cells behave differently when in contact with ProRoot MTA and White MTA . Int Endod J . 2003;36:564–570
  99. Camilleri J , Montesin FE , Papaioannou S , McDonald F , Pitt Ford TR . Biocompatibility of two commercial forms of mineral trioxide aggregate . Int Endod J . 2004;37:699–704
  100. Moghaddame-Jafari S , Mantellini MG , Botero TM , McDonald MJ , Nor JE . Effect of ProRoot MTA on pulp cell apoptosis and proliferation in vitro . J Endod . 2005;31:387–391
  101. Ferris D , Baumgartner JC . Perforation repair comparing two types of mineral trioxide aggregate . J Endod . 2004;30:422–424
  102. Al-Hezaimi K , Naghshbandi J , Oglesby S , Simon J , Rotstein I . Human saliva penetration of root canals obturated with two types of mineral trioxide aggregate cements . J Endod . 2005;31:453–456
  103. Holland R , de Souza V , Nery MJ , et al.   Reaction of rat connective tissue to implanted dentin tube filled with mineral trioxide aggregate, Portland cement or calcium hydroxide . Braz Dent J . 2001;12:3–8
  104. Holland R , de Souza V , Nery MJ , et al.   Reaction of rat connective tissue to implanted dentin tubes filled with a white mineral trioxide aggregate . Braz dent J . 2002;13:23–26
  105. Faraco Junior IM , Holland R . Response of the pulp of dogs to capping with mineral trioxide aggregate or calcium hydroxide cement . Dent Traumatol . 2001;17:163–166
  106. Faraco Junior IM , Holland R . Histomorphological response of dogs’ dental pulp capped with white mineral trioxide aggregate . Braz Dent J . 2004;15:104–108
  107. Phillips JL , Weller RN , Kulild JC . The mental foramen: 1. Size, orientation, and positional relationship to the mandibular second premolar . J Endod . 1990;16:221–223
  108. Phillips JL , Weller RN , Kulild JC . The mental foramen: part 2. Radiographic position in relation to mandibular second premolar . J Endod . 1992;18:271–274
  109. Meechan JG , Blair GS . The effect of two different local anaesthetic solutions on pain experience following apicectomy . Br Dent J . 1993;175:410–413
  110. Kvist T , Reit C . Postoperative discomfort associated with surgical and nonsurgical endodontic retreatment . Endod Dent Traumatol . 2000;16:71–74
  111. Tsesis I , Fuss Z , Lin S , Tilinger G , Peled M . Analysis of postoperative symptoms following surgical endodontic treatment . Quintessence Int . 2003;34:756–760
  112. Wong WS , Rosenberg PA , Boylan RJ , Schulman A . A comparison of the apical seal achieved using retrograde amalgam fillings and the Nd:YAG laser . J Endod . 1994;20:595–597
  113. Bader G , Lejeune S . Prospective study of two retrograde endodontic apical preparations with and without the use of CO2 laser . Endod Dent Traumatol . 1998;14:75–78
  114. Maillet WA , Torneck CD , Friedman S . Connective tissue response to root surfaces resected with Nd:YAG laser or burs . Oral Surg Oral Med Oral Pathol . 1996;82:681–690
  115. Paghdiwala AF . Root resection of endodontically treated teeth by erbium (YAG laser radiation) . J Endod . 1993;19:91–94
  116. Komori T , Tokoyama K , Takate T , Matsumoto K . Clinical application of the Erbium (YAG laser for apicoectomy) . J Endod . 1997;23:748–750
  117. Gouw-soares S , Tanji E , Haypek P , Cardoso W , Eduarso CP . The use of Er:YAG, Nd:YAG and Ga-Al-As lasers in periapical surgery: a 3-year clinical study . J Clin Laser Med Surg . 2001;19:193–198
  118. Maddalone M , Gagliani M . Periapical endodontic surgery (a 3-year follow-up study) . Int Endod J . 2003;36:193–198
  119. Schwartz-Arad D , Yarom N , Lustig JP , Kaffe I . A retrospective radiographic study of root-end surgery with amalgam and intermediate restorative material . Oral Surg Oral Med Oral Pathol Oral Radiol Endod . 2003;96:472–477
  120. Von Arx T , Gerber C , Hardt N . Periradicular surgery of molars (a prospective clinical study with a 1-year follow up) . Int Endod J . 2001;34:520–525
  121. Wesson CM , Gale TM . Molar apicoectomy with amalgam root-end filling (results of a prospective study in two district general hospitals) . Br Dent J . 2003;195:707–714
  122. Rubinstein RA , Kim S . Long-term follow-up of cases considered healed 1 year after apical microsurgery . J Endod . 2002;28:378–383
  123. Rahbaran S , Gilthrope MS , Harrison SD , Gulabivala K . Comparison of clinical outcome of periapical surgery in endodontics and oral surgery units of a teaching dental hospital (a retrospective study) . Oral Surg Oral Med Oral Pathol Oral Radiol Endod . 2001;91:700–709
  124. Rud J , Rud V , Munksgaard EC . Periapical healing of mandibular molars after root-end sealing with dentine bonded composites . Int Endod J . 2001;34:285–292
  125. Halse A , Molven O , Grung B . Follow-up after periapical surgery (the value of the one-year control) . Endod Dent Traumatol . 1991;7:246–250
  126. Rahbaran S , Gilthorpe MS , Harrison SD , Gulabivala K . Comparison of clinical outcome of periapical surgery in endodontic and oral surgery units of a teaching dental hospital (a retrospective study) . Oral Surg Oral Med Oral Pathol Oral Radiol Endod . 2001;91:700–709
  127. Danin J , Linder LE , Lundqvist G , Ohlsson L , Ramsköld L , Strömberg T . Outcomes of periradicular surgery in cases with apical pathosis and untreated canals . Oral Surg Oral Med Oral Pathol Oral Radiol Endod . 1999;87:227–232
  128. Molven O , Halse A , Grung B . Surgical management of endodontic failures. Indications and treatment results . Int J Dent . 1991;41:33–42
  129. Harty FJ , Parkins BJ , Wengraf AM . The success rate of apicectomy . Br Dent J . 1970;129:407–413
  130. Frank AL , Glick DH , Patterson SS , Weine FS . Long-term evaluation of surgically placed amalgam fillings . J Endod . 1992;18:391–398
  131. Bader G , Lejeune S . Prospective study of two retrograde endodontic apical preparations with and without the use of CO2 laser . Endod Dent Traumatol . 1998;14:75–78
  132. Dorn SO , Gartner AH . Retrograde filling materials (a retrospective success-failure study of amalgam, EBA, and IRM) . J Endod . 1990;16:391–393
  133. Friedman S , Lustmann J , Shaharabany V . Treatment results of apical surgery in premolar and molar teeth . J Endod . 1991;7:30–33

PII: S0099-2399(05)00185-8

doi: 10.1016/j.joen.2005.12.010

Journal of Endodontics
Volume 32, Issue 7 , Pages 601-623 , July 2006