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Submitted Presentation

SP-9 - Confronting Complexities in Root-End Surgery: Evidence-Based Advanced Strategies

Saturday, April 5, 2025
12:15 PM – 1:45 PM EST
Location: Hynes Convention Center, Floor 3, Room 309
Earn 1.5 CE Credits

    Speaker(s)

  • Ji Wook Jeong, D.M.D., M.S.D.

    Associate Professor / Course Director of Endodontic Surgery
    University of Texas at Houston
    Houston, Texas

    Disclosure(s): No financial relationships to disclose

    Handouts

  • Austyn C. Grissom, D.MD, M.S.D.

    Board Certified Endodontist
    Grissom Endodontics and Microsurgery
    University of Texas at Houston
    Fairhope, Alabama

    Disclosure(s): No financial relationships to disclose

    Handouts

    • Session Host(s)

  • Ju Ri Hur, D.D.S.

    Resident
    University of Texas at Houston
    Houston, Texas

    Disclosure(s): No financial relationships to disclose

Disclosure(s):
Ji Wook Jeong, D.M.D., M.S.D.: No financial relationships to disclose
Austyn C. Grissom, D.MD, M.S.D.: No financial relationships to disclose
Ju Ri Hur, D.D.S.: No financial relationships to disclose
Presentation Description/Abstract: Can we achieve a 1.5% lower failure rate in root-end surgery akin to Mariano Rivera’s success in baseball? Despite high success rates published in outcome studies, endodontists are facing extraordinary challenges when planning surgical procedures: roots with proximity to critical anatomical structures, diverse root resorptions, and instruments lodged at and beyond the apex. Typically, outcome studies have overlooked these challenges due to case standardization protocols. Despite this, patient demands compel us to persevere. Furthermore, improper surgical planning and execution can result in aesthetically displeasing scar tissue, post-operative numbness, and even vertical root fractures. Success in root-end surgery is multifaceted: the tooth must function, the bone must heal, and the patient must feel good. Therefore, success hinges on knowledgeable decision-making and precise execution before, during and after surgery. This presentation explores handling these complexities, utilizing clinical cases and critical reviews to provide insights for achieving optimal outcomes in root-end surgery.

Learning Objectives:

  • Identify challenges in rootend surgery, including nine critical anatomies, before the surgical process.
  • Develop strategies for managing clinical complexities through knowledgeable decision making and precise execution throughout the surgical process.
  • Apply insights from clinical cases and critical literature reviews to establish recall protocol to best optimize treatment outcomes.