Microsurgical management of the maxillary molar’s palatal root

This clinical presentation will describe and discuss the surgical management, by an apicoectomy, of a compromised palatal root with regard to the preoperative and postoperative significance of CBCT for these complex cases, the traditional microsurgical approaches and the application of guided surgical techniques.

One of the most challenging conditions during endodontic microsurgery is the surgical management of the palatal root of the maxillary molar. The proximity to the sinus, the depth to the palatal vault, the location of the greater palatine foramen, the proximity of major vessels and nerves to the apices of the palatal root, and the configuration of the zygomatic process of the maxilla are some of the anatomical features to consider in selecting the proper surgical approach.