Abstract

Current protocols for root‐end management in apical microsurgery are described. The dramatic increase in light and magnification as the advent of the surgical operating microscope (SOM) for use in endodontic apical surgery has caused a renewed examination of the rationale, indications, techniques, instrumentation, and materials for root‐end procedures. Additional research and increased use of the SOM in endodontic surgery have elucidated many shortcomings of previous techniques. Root‐end resection, root‐end bevel, root‐end preparation, and root‐end filling are discussed. The steps necessary to achieve a predictable result in performing surgical root‐end procedures using the enhanced vision of the SOM are presented.

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