Endodontische Mikrochirurgie – wo stehen wir heute?

Die in der allgemeinzahnärztlichen Praxis am häufigsten durchgeführte endodontische Therapiemaßnahme ist die orthograde Wurzelkanalbehandlung als Komplikation einer Caries profunda. Falls der initiale Behandlungsversuch scheitert, ist meist eine Revisionsbehandlung nötig. Dieser 2. Anlauf sollte idealerweise durch einen spezialisierten Endodontologen ausgeführt werden, weil sich die Behandlung deutlich aufwendiger gestaltet als die Initialbehandlung. Falls die orthograde Revision nicht zum gewünschten Erfolg führt oder nicht aussichtsreich erscheint, sollte die mikrochirurgische Wurzelspitzenresektion als Therapieoption erwogen werden.

Schlüsselwörter

endodontische Mikrochirurgie - Wurzelspitzenresektion - digitale Volumentomografie - Operationsmikroskop - orthograde Wurzelkanalbehandlung

• Literatur

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