The term "Endodontic Surgery" encompasses surgical procedures performed to remove the causative agents of radicular and periradicular disease and to restore these tissues to functional health. Apical surgery is the standard endodontic surgical procedure to maintain a tooth with significant periapical lesion that cannot be treated with conventional endodontic retreatment. When any non-surgical or conventional endodontic treatment fails, apical surgery or apicoectomy is the procedure which is mostly conducted as retreatment. Techniques in surgical endodontic treatment are continually evolving and the routine use of magnification and instruments supporting a microsurgical approach have become accepted as the gold standard.
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