Published Paper Details:

Apicoectomy, also known as root-end resection, is a surgical endodontic procedure performed to remove the apex of a tooth's root and the surrounding periapical infected tissue when conventional root canal therapy has failed or is not feasible[1]. It serves as a conservative approach to preserve natural dentition by eliminating persistent periapical pathology and promoting peri radicular healing. The success of an apicoectomy depends on precise case selection, thorough diagnosis, advanced surgical techniques, and the use of biocompatible root-end filling materials. Recent advancements, including the use of magnification with dental operating microscopes, ultrasonic retrograde instrumentation, and bioactive materials such as mineral trioxide aggregate (MTA) and Bio dentine, have significantly improved treatment outcomes. This review discusses the indications, surgical procedures, materials, success rates, and future trends associated with apicoectomy, emphasizing its importance in modern endodontic microsurgery.