Bone Window Technique in Endodontic Microsurgery – Report of Two Cases

Abstract

Endodontic microsurgery was introduced in the ‘90s and has significantly increased the success rate of apical surgical intervention the last few decades. Utilizing the dental operating microscope, ultrasonic tips for root end preparation and biocompatible root end filling materials, predictably manages the apical pathology preserving the buccal cortical plate. The bone window technique for buccal approach to the apical area involves the use of piezoelectric unit to prepare and elevate a buccal cortical bony window and the reposition of the bone after the apical root end filling is completed. Two cases are reported in this article, highlighting the importance of endodontic microsurgery and buccal bone window technique in addressing apical pathology in a minimally invasive way, preserving the hard tissues and the tooth structure. Cases were reevaluated clinically and radiographically after a period of 3 months up to 36 months.