Apicoectomy – Definition, Indications, Contraindications, Surgical Procedure, Complications , Apicoectomy: Definition: It is the cutting off, of the apical portion of the root and curettage of the periapical necrotic, granulomatous, inflammatory or cystic lesion. Synonym: Apical Surgery, Root Resection, Endodontic Surgery, Root Amputation Indications of Apicoectomy: Apical anamoly of root tip-dilacerations, intracanal calcifications Presence of lateral/accessory canal/apical region perforations Roots with broken instruments Root with overfilling Fracture of apical third of root Formation of periapical granuloma and cyst Draining Sinus tract Non responsive to RCT Over extension of root canal cement beyond the Apex Teeth with Ceramic Crowns When patient with chronic periapical infection Teeth with Apical resorption Contraindications of Apicoectomy: Medically compromised patients Teeth with deep periodontal pocket and excessive mobility Teeth with poor Accessibility When there is extensive involvement of Bone Danger of involvement of anatomical structure Steps of Apicoectomy: Preoperative Preoperative Assessment Preoperative Consideration Preoperative preparation ( Intra oral and Extra oral) Armamentarium (Standard Surgical set) Anesthesia (LA, nasal intubation) Step by Step Surgical Procedure of Apicoectomy: Design of Mucoperiosteal Flap Reflection of Mucoperiosteal Flap Exposure of Periapical Pathology and Root Tip Removal of Periapical pathology Ressection of Root Apex (Apical 1/3rd) Sealing of the Apex Toilet of the wound Smoothing of the Sharp Bony margins Bleeding Control Closure of the Surgical Wound – Suturing Postoperative instructions, medication and care Complications of Apicoectomy: Infection Flare up Cellulitis Ludwigs Angina Fracture of Maxilla and Mandible Soft tissue injury Opening of Maxillary Sinus – Oro Antral Fistula Secondary Hemorrhage Secondary hemorrhage Non vitality of Adjacent teeth Nerve Injury Luxation of adjacent teeth , http://bit.ly/132Pqdx

Apicoectomy – Definition, Indications, Contraindications, Surgical Procedure, Complications , Apicoectomy: Definition: It is the cutting off, of the apical portion of the root and curettage of the periapical necrotic, granulomatous, inflammatory or cystic lesion. Synonym: Apical Surgery, Root Resection, Endodontic Surgery, Root Amputation Indications of Apicoectomy: Apical anamoly of root tip-dilacerations, intracanal calcifications Presence of lateral/accessory canal/apical region perforations Roots with broken instruments Root with overfilling Fracture of apical third of root Formation of periapical granuloma and cyst Draining Sinus tract Non responsive to RCT Over extension of root canal cement beyond the Apex Teeth with Ceramic Crowns When patient with chronic periapical infection Teeth with Apical resorption Contraindications of Apicoectomy: Medically compromised patients Teeth with deep periodontal pocket and excessive mobility Teeth with poor Accessibility When there is extensive involvement of Bone Danger of involvement of anatomical structure Steps of Apicoectomy: Preoperative Preoperative Assessment Preoperative Consideration Preoperative preparation ( Intra oral and Extra oral) Armamentarium (Standard Surgical set) Anesthesia (LA, nasal intubation) Step by Step Surgical Procedure of Apicoectomy: Design of Mucoperiosteal Flap Reflection of Mucoperiosteal Flap Exposure of Periapical Pathology and Root Tip Removal of Periapical pathology Ressection of Root Apex (Apical 1/3rd) Sealing of the Apex Toilet of the wound Smoothing of the Sharp Bony margins Bleeding Control Closure of the Surgical Wound – Suturing Postoperative instructions, medication and care Complications of Apicoectomy: Infection Flare up Cellulitis Ludwigs Angina Fracture of Maxilla and Mandible Soft tissue injury Opening of Maxillary Sinus – Oro Antral Fistula Secondary Hemorrhage Secondary hemorrhage Non vitality of Adjacent teeth Nerve Injury Luxation of adjacent teeth , http://bit.ly/132Pqdx , via Dental Teach " Daily Dental Info " http://www.facebook.com/photo.php?fbid=589470437744176&set=a.578806528810567.1073741842.110664842291407&type=1