With a success rate exceeding 90 per cent, apical microsurgery represents a significant leap forward in treating periapical diseases.
The International Journal of Oral Science has published a consensus developed by leading dental experts to improve clinical practice and expand the application of the procedure.
Qin Yu, a leading author of the consensus and an expert in dental surgery, said, “Apical microsurgery has proven to be a highly effective procedure for treating periapical diseases, yet its full potential has been hampered by a lack of awareness among dental professionals.
“This consensus represents a major advancement. It provides a clear, evidence-based guide that will empower dentists to perform this procedure with greater precision and confidence, leading to improved patient outcomes and the preservation of natural teeth. We believe this will set a new standard in dental care.”
The document offers a comprehensive framework for the practice of apical microsurgery, covering every aspect from preoperative assessment to postoperative care. It emphasises the importance of advanced imaging techniques, such as Cone Beam CT (CBCT), for precise preoperative planning.
The surgical procedure itself is also outlined, with a particular focus on using dental microscopes to enhance visualisation.
The authors said this technology is crucial for accurately identifying and resecting the root apex, ensuring optimal outcomes.
Flap design guidance is also provided by the consensus, including recommendations for techniques that minimise tissue trauma and promote faster healing. In addition, it addresses root-end preparation and the selection of filling materials, stressing the importance of biocompatibility and sealing effectiveness.
The authors said that the aim of providing these technical details is to standardise the procedure, set new benchmarks for safety, and significantly improve the success rates of apical microsurgery.