Endoscopically Controlled Apicoectomy

Already 1896, PARTSCH described the use of apicoectomy in the surgical treatment of chronic apical periodontitis. Amputation of the apical third of the root with its ramifications and excochleation of the granulation tissue are intended to eliminate the causes of chronic periapical osteitis and associated pathologic bone changes. Bacteria-proof sealing of the root canal in the resection area prevents reinfection of the bone.

On the one hand, the success of apicoectomy depends crucially on the indication. On the other hand, the success rate can be demonstrably increased by means of visual control to ensure complete resection and sealing of the apical root canal filling, using optical instruments (microscope and endoscope). Furthermore, the use of an endoscope permits image documentation of the operation.

The endoscope also allows the resection to be performed sparingly and distal molars can be included in this treatment with successful results.

Recommended endoscope for this procedure is the HOPKINS® II lateral telescope with a viewing angle of 70°, an outer diameter of 4 mm and the length of 18 cm.

Dr. Peter Schleier
Department of Oral Surgery
Stavanger, Norway