Cirurgia paraendodôntica

Abstract

The choice of this topic is based on the concern to evaluate the criteria used to approach endodontic surgery in cases of patients in whom conventional endodontic treatment has not been effective in resolving the presenting problem. In this context, the main objective of this article was to carry out an analysis and studies to seek to understand when paraendodontic surgery becomes necessary, with a view to carrying out procedures that will help patients who have relevant complications in these cases. This is a narrative review of the literature, using a qualitative methodology, of a bibliographic nature, developed through searches for publications obtained in the databases: PubMed, SciELO, LILACS and Google Scholar. The descriptors paraendodontic surgery fundamental surgical maneuvers ostectomy and curettage apicectomy main retrofilling materials were used, based on a selection of thirty-five publications that made it possible to compose this article. Through the analysis of the articles, it was possible to demonstrate that endodontic surgery is an alternative for preserving the tooth in the oral cavity in cases where periapical inflammation is persistent even after conventional root canal treatment. It is concluded, therefore, that greater care with oral health and good planning for the indication of surgical intervention are essential. The results we sought to achieve highlighted the challenges of rethinking how to consolidate the practices necessary to carry out the surgical process when conducting dental work.