Clinical Controversies in Oral and Maxillofacial Surgery: Part Two

b a u c g picoectomy involves the surgical management of tooth with a periapical lesion which cannot be esolved by conventional endodontic treatment root canal therapy or endodontic retreatment). ecause the term “apicoectomy” consists of only ne aspect (removal of root apex) of a complex eries of surgical procedures, the terms “periapical urgery” or “periradicular surgery” are more approriate. The expressions “periapical endodontic surery” and “apical microsurgery” are also found in he literature. The objective of periapical surgery is to obtain issue regeneration. This is usually achieved by the emoval of periapical pathologic tissue and by excluion of any irritants within the physical confines of he affected root.