Title: Endodontic sergery in Algeria
Abstract:
Endodontic treatment is a fundamental aspect of modern dental practice. However, its failure frequently leads to the necessity of extracting the affected tooth. In this context, endodontic surgery emerges as a valuable second-line therapeutic option. It enables the management of persistent periapical lesions through direct surgical access to the apical portion of the root, facilitating the removal of pathological tissue and the sealing of the root canal system from the retrograde approach. Historically regarded as a technically demanding procedure with uncertain prognosis, endodontic surgery has experienced significant advancements in recent years. The integration of microsurgical techniques, the development of high-precision microsurgical instruments, and the use of innovative biocompatible materials—such as Mineral Trioxide Aggregate (MTA) and Biodentine have contributed to markedly improved clinical success rates. As a result, endodontic surgery now represents a reliable and evidence-based therapeutic solution. It plays a vital role in the preservation of natural dentition and has become an integral part in our modern endodontic practice.