New incision technique may improve healing in endodontic microsurgery

Researchers demonstrated the potential efficacy of a novel incision strategy in patients undergoing endodontic microsurgery.

In a case report published in the Journal of Endodontics, the researchers performed a vertical, minimally invasive C-shaped incision over the conventional sulcular or submarginal flap approach to achieve surgical access in patients with persistent periapical pathology. Despite the benefits associated with the conventional approach, they noted that endodontists may anticipate aesthetic and postoperative challenges.

Following the procedure, the researchers reported that the C-shaped incision provided minimal tissue injury and effects to vascular integrity during flap retraction and allowed for tension-free primary closure. After a follow-up of one year, the patients exhibited no scarring or gingival recession, demonstrating complete periapical healing.

As a result of the positive findings, the researchers suggested that their minimally invasive C-shaped incision could represent a novel approach in endodontic microsurgery; however, further studies will be needed to better understand the adverse postoperative effects that may be associated with the technique.

Read more: Journal of Endodontics

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