Microsurgical Endodontics

Choosing the right approach to endodontic treatment is important because failure can lead directly to extraction. Endodontic surgery is a therapeutic solution that is too often overlooked, which is surprising given that it is a reliable technique with a very high success rate. Not only is endodontic surgery more conservative than conventional endodontic treatment, but it can also be used to resolve difficulties that are inaccessible by conventional approach. Written by two specialists in the discipline, this book outlines predictable surgical strategies and presents more than a hundred clinical cases through each stage of treatment. This book provides concrete and practical information so that endodontists who want to implement surgical techniques can approach their first cases with the knowledge they need.

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Chapter 01. Indications
• Presence of a lesion after a satisfactory treatment or retreatment 
• Presence of a lesion after a nonsatisfactory treatment or retreatment
• Failure of a previous surgery
• Surgical treatment as the sole treatment: retrograde root canal treatment

Chapter 02. Contraindications
• Medical contraindications
• Local contraindications

Chapter 03. Preoperative examination, prescriptions, informed consent and postoperative instructions
• Preoperative examination
• Prescriptions in endodontic surgery
• Informed consent and postoperative instructions

Chapter 04. Optical aids and armamentarium
• Optical aids
• Instrumentation and materials

Chapter 05. Ergonomics and working positions
• Work environment
• Practitioner's position
• Patient and microscope position
• Four-handed work in endodontic surgery

Chapter 06. Anesthesia
• Instruments
• Anesthesia protocol

Chapter 07. Soft tissue anatomy and incision design
• Soft tissue anatomy
• Incisions
• Different types of flaps
• Flap designs

Chapter 08. Flap elevation and suturing
• Flap elevation and retraction
• Sutures

Chapter 09. Osteotomy, resection, curettage and hemostasis
• Osteotomy
• Apical resection
• Curettage
• Hemostasis
• Precautions per area
• Biopsy

Chapter 10. Retrograde canal preparation
• Objectives of retrograde canal preparation
• Ultrasonics
• Technical guide

Chapter 11. Retrograde obturation
• Root-end filling materials
• Technique

Chapter 12. Outcome, regenerative procedures and complications
• Outcome
• Regenerative procedures
• Postoperative patient management
• Complications

Dr. Bertrand Khayat received his DDS degree at the University of Paris. He obtained his Certificate in Endodontics and his Masters of Science at the University of Washington in 1988. A pioneer in the use of the microscope in Endodontics, he also designed several surgical instruments including ultrasonic tips for surgical retropreparation. In addition to his extensive experience and expertise in Endodontic Surgery, he lectures internationally while maintaining his private practice in Conventional and Surgical Endodontics in Paris.

Dr. Guillaume Jouanny received his DDS degree at the University of Paris. He earned his Certificate in Endodontics from the University of Pennsylvania in 2015, where he received comprehensive training in Microsurgical Endodontics. He returned to France where he teaches at the University level. In addition to his private practice in Paris, he lectures on Surgical Endodontics, among other Endodontic topics, worldwide.

The authors have collaborated for the last decade on multiple publications and a textbook dedicated to Endodontic Microsurgery in French. Together, they founded a clinical training program that welcomes international dentists seeking mastery in Surgical Endodontics.

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Khayat, Bertrand / Jouanny, Guillaume
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