Microsurgical Endodontics

Microsurgical Endodontics

Bertrand Khayat / Guillaume Jouanny

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.

Contents

1. 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
2. Contraindications
   Medical contraindications
   • Local contraindications
3. Preoperative examination, prescriptions, informed consent and postoperative instructions
   Preoperative examination
   • Prescriptions in endodontic surgery
   • Informed consent and postoperative instructions
4. Optical aids and armamentarium
   Optical aids
   • Instrumentation and materials
5. Ergonomics and working positions
   Work environment
   • Practitioner’s position
   • Patient and microscope position
   • Four-handed work in endodontic surgery
6. Anesthesia
   Instruments
   • Anesthesia protocol
7. Soft tissue anatomy and incision design
   Soft tissue anatomy
   • Incisions
   • Different types of flaps
   • Flap designs
8. Flap elevation and suturing
   Flap elevation and retraction
   • Sutures
9. Osteotomy, resection, curettage and hemostasis
   Osteotomy
   • Apical resection
   • Curettage
   • Hemostasis
   • Precautions per area
   • Biopsy
10. Retrograde canal preparation
    Objectives of retrograde canal preparation
    • Ultrasonics
    • Technical guide
11. Retrograde obturation
    Root-end filling materials
    • Technique
12. Outcome, regenerative procedures and complications
    Outcome
    • Regenerative procedures
    • Postoperative patient management
    • Complications

Authors

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.