Microsurgical Endodontics

Chapter 01. 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

Chapter 02. Contraindications
 Medical contraindications
 Local contraindications

Chapter 03. Preoperative examination, prescriptions, informed consent and postoperative instructions
 Preoperative examination
 Prescriptions in endodontic surgery
 Informed consent and postoperative instructions

Chapter 04. Optical aids and armamentarium
 Optical aids
 Instrumentation and materials

Chapter 05. Ergonomics and working positions
 Work environment
 Practitioner's position
 Patient and microscope position
 Four-handed work in endodontic surgery

Chapter 06. Anesthesia
 Instruments
 Anesthesia protocol

Chapter 07. Soft tissue anatomy and incision design
 Soft tissue anatomy
 Incisions
 Different types of flaps
 Flap designs

Chapter 08. Flap elevation and suturing
 Flap elevation and retraction
 Sutures

Chapter 09. Osteotomy, resection, curettage and hemostasis
 Osteotomy
 Apical resection
 Curettage
 Hemostasis
 Precautions per area
 Biopsy

Chapter 10. Retrograde canal preparation
 Objectives of retrograde canal preparation
 Ultrasonics
 Technical guide

Chapter 11. Retrograde obturation
 Root-end filling materials
 Technique

Chapter 12. Outcome, regenerative procedures and complications
 Outcome
 Regenerative procedures
 Postoperative patient management
 Complications

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 isendodontic 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.

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.