ROOT-END RESECTION APICOECTOMY IN MODERN DENTISTRY ENG

Some teeth are not lost — they are only waiting for the right surgeon. Root-end resection — the apicoectomy — is the procedure that stands between a patient's tooth and extraction when conventional endodontic treatment has reached its biological limit. When performed with microsurgical precision, it delivers success rates exceeding 91%. When performed without it, success drops to 59%. The difference lies entirely in technique, knowledge, and the quality of decision-making. This advanced course from Dental Migas Academy equips you with every component of that knowledge — from the cellular biology of why apical infections persist, to the three-dimensional CBCT planning that defines your surgical field, to the step-by-step microsurgical protocol that the current evidence supports. You will leave this day with a complete, immediately applicable clinical framework for this procedure. What You Will Learn ✔ Why conventional endodontic treatment sometimes fails — the microbiology and anatomy of persistent apical infection, including extraradicular biofilm and apical delta complexity ✔ Evidence-based indications and contraindications — a structured decision-making framework for patient selection, including ASA classification, MRONJ risk, and anticoagulation protocols ✔ Preoperative planning with CBCT — small field-of-view imaging, periapical index (PAI) scoring, root length assessment, and vital structure proximity analysis ✔ Complete surgical protocol — flap design selection, osteotomy, perpendicular root-end resection, and systematic periapical curettage with mandatory histopathology ✔ Microsurgical technique under the dental operating microscope — ultrasonic retroprep, methylene blue staining, isthmus identification, and micro-mirror surface inspection ✔ Root-end filling materials in depth — MTA vs. Biodentine vs. Super-EBA: mechanism of action, handling, and the outcome data that positions each material in the modern algorithm ✔ Postoperative management