Técnicas e materiais utilizados na cirurgia paraendodôntica-apicectomia: revisão de literatura.

Abstract

Paraendodontic surgery aims to solve problems that have not been solved by conventional endodontic treatment or when this is not possible. Among the surgeries that are performed in the periapical region, apicectomy stands out. This study aimed to review the literature on paraendodontic surgery - apicectomy, investigating techniques and materials used. The methodology used was the search of articles indexed in the electronic database Google Academic, with a time frame from 2009 to 2021. The descriptors used for the research of this literature review were: “apicectomy”, “paraendodontic surgery”, “types of incision”, “retro filling materials”. The inclusion criteria were articles in English and Portuguese that addressed the proposed theme. It was found that before performing the apicectomy-type paraendodontic surgery, the correct diagnosis and surgical planning must be made. The steps of this procedure involve anesthesia, incision, flap, osteotomy, periapical curettage, retrocavity preparation, retrofilling, suturing and postoperative guidelines. It is concluded that the most used material in retrofilling is MTA, as it is biocompatible and has good marginal adaptation.