Specialist endodontic treatments demands the ability of the Specialist to be able to visualise what they are doing. This is obviously important for diagnosis and all orthograde clinical procedures. Its introduction has also provided a profound paradigm shift in our approach to surgical retrograde treatment in endodontics.Under the operating microscope, I use microsurgical instruments (microblades, 5/0 or 6/0 grade synthetic sutures, micromirrors), which allow me to address the affected and inflamed tissue specifically at the site around the affected root.
This enables us to remove less cortical bone for access and resect the apex of the affected root at a horizontal angle to eliminate all the complex apical anatomy. With surgical ultrasonic multi-angular tips, we are able precisely prepare apical end of a root canal prior to placement of Mineral Trioxide Aggregate.