Apical Surgery: To Pull Or Not To Pull
You will receive 2 credit(s) of continuing education credit upon successful completion of this course. The purchase price of this course is $82.00

Description:

This course will describe the indications and contraindications, for performing or referring a patient for Apical Surgery. With the correct history, radiographic and clinical evaluation, the decision to perform an Apicoectomy, will be weighed against further evaluation, a retreatment option, or extraction. Then a decision is more accurately made as to whether an Implant or a Fixed Bridge (Fixed Partial Prosthesis), a Removable Prosthesis (Fixed or Transitional Tempoary Prosthesis), or doing nothing would be the final treatment plan offered to the patient. This specific workup (check list) is frequently overlooked, leading to a less than ideal outcome. This course discusses and reviews all the options when a tooth is ailing or failing.


Author:
Daniel Pompa, DDS Show Full Bio

Learning Objectives:

Upon completion of this course, the participant should be able to:

  1. Learn the radiographic technique to use when evaluating a tooth for a fracture
  2. List the seven step workup consisting of procedures and tests that should be used when performing, or referring a patient for an apicoectomy.
  3. Understand the principles of GTM, and know the indications and contraindications.
  4. Recognize that the location of a fistula is the key critical diagnostic indicator for the final prognosis.
  5. Identify the signs to differentiate between an endo/perio defect vs. a perio/endo defect, and to understand the difference with respect to the prognosis.

 


Abstract:

Periapical Surgery as an adjunct to endodontic treatment is a proven technique. With the introduction of new surgical approaches, and a systematic approach to the diagnosis and treatment of compromised teeth, the clinician should be able to more accurately determine the long term prognosis, and/or determine the potential success of a surgical, non-surgical, or replacement treatment option.


Outline:
  1. Proper case selection and the use of:
  2. Fiberoptics
  3. Magnification
  4. Ultrasonic Retropreparation
  5. Guided Tissue Regeneration and the use of
  6. Cone Beam Computerized Tomography (CBCT) to determine when Apical Surgery is indicated and when it is contraindicated.

References:
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