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In this episode, specialist endodontist Dr. Peter Raftery and his associate Dr. Manpreet Dhesi will be talking about the Apicoectomy procedure that can be used to treat root-filled teeth using a 'retrograde' approach. They will discuss about how it fits into general dentistry, its indications and contraindications, its cost analysis vs implants and and the entire protocol for performing Apicoectomy. Protrusive Dental Pearl: The periradicular surgery guidelines issued by BES and the Royal College of Surgeons. Download the guidelines about periradicular surgery or on the app under the Protrusive Vault (where all the different files and infographics and the different things that you get as a Protrusive premium member) BES-RCS-Peri-Radicular-Surgery-Guidelines: https://protrusive.co.uk/148 Highlights of this episode: 0:00 Introduction 1:37 The Protrusive Dental Pearl 3:32 Dr. Peter Raftery’s introduction 4:05 Dr. Manpreet Dhesi’s introduction 5:16 What is Apicoectomy? 6:29 Oral Surgeons vs Endodontists? 8:48 Is a Microscope mandatory for Apicoectomy? 10:08 Apicoectomy for posteriors 11:00 Isolation Protocol for Anterior Apicoectomies 11:35 Apicoectomy Protocol 15:03 Disinfection Protocol 18:41 Moisture control from the bleeding 20:43 Risk of surgical emphysema - Is special handpiece needed? 21:52 Indications and Contraindications for Apicoectomy 27:46 Endodontic Re-treatment 29:05 Cost benefit analysis of Apicoectomy 31:20 Success rate for Apicoectomy 34:19 Case Scenario 1: 82-year old patient with a singular crown, root filling and a radicular pathology 42:10 Retrograde fillings of choice 44:09 Grafting after Apicoectomy - is it needed? 45:04 Equipments for Apicoectomy 47:11 Learning more about Apicoectomy Apical Microsurgery Instrument Kit- the mirror, the pluggers, and the little curettes by Hu-Friedy UK https://protrusive.co.uk/148 If you enjoyed this episode, check this another episode by Dr. Peter Raftery: How to Save ‘Hopeless’ Teeth with the Surgical Extrusion Technique: protrusive.co.uk/surgical-extrusion-technique ------------------------------------ Apply for FREE access to the Nicest and Geekiest Dental Community in the World 🌍 https://protrusive.app - it’s absolutely Free We also have paid plans so you can Claim Verifiable CPD/CE + EXCLUSIVE content: https://protrusive.app 🔊 Subscribe on Apple: https://protrusive.co.uk/apple 🔊 Subscribe on Spotify: https://protrusive.co.uk/spotify 📷 Instagram: / protrusivedental Online Courses: 😬 Learn Occlusion Online: https://occlusion.online/ 📚 Learn TMD and Occlusal Appliances: https://www.splintcourse.com 🦷 Gain Confidence with Resin Bonded Bridges: https://rbbmasterclass.com 🎒 Learn Vertipreps, Rubber Dam and More: https://protrusive.co.uk/ultimate