The surgical solution to a conventionally treated tooth that has become refractory to healing was once considered the final step prior to extraction, and that it was a singularly occurring event. In light of contemporary techniques and technologies, are either of these statements true? Or should it be viewed as an extension of a current therapy, either surgical or non-surgical, in a process of revision and remodeling. When is it appropriate to consider a surgical intervention, especially in a tooth that has been previously surgically treated, and what metrics are we using to determine this? Is it a stand-alone procedure, or are outcomes enhanced with co-treatment options? What is the alternative if the conventional surgical options are exhausted? This presentation will examine the available literature for guidelines to these treatment decisions and, using multimedia, demonstrate various case scenarios and techniques.
Compare the traditional root end operative procedures with modern Piezo approaches
a. Describe the process of PRESS fabrication, from image acquisition to final stent
b. Contrast conventional root end surgical access with GPS assisted surgery (Navident™)
Discuss the various root end preparation / filling materials and their appropriate applications.