Endodontic surgery is a crucial option among the treatments available for complicated tooth issues. It's used as a final attempt to save teeth when conventional procedures can't fix the issue. Addressing issues such as persistent infections, root fractures, and anatomical variations, it provides patients with an opportunity to retain their natural dentition and avoid the need for extraction. However, the successful execution of endodontic surgery is not without its challenges. Complications can arise, ranging from nerve injuries, local anesthesia related, bleeding, wound-healing disturbances, etc. Effective management of these complications is paramount, requiring careful planning, precise execution, and prompt intervention when necessary. By prioritising meticulous technique, thorough preoperative assessment, and ongoing education, practitioners can minimise the occurrence of complications and optimise patient outcomes. Through diligent management of complications, endodontic surgeons can mitigate risks, preserve tooth vitality, and promote optimal healing, ultimately enhancing patient satisfaction and contributing to long-term oral health and well-being.
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