S-3 - Through & Through Lesions Explained

Endodontic microsurgery (EMS) is a very predictable treatment option for failed endodontic treatments. The outcome has been consistently high for over the past two decades. Certain clinical conditions, however, such as through-and-through defects, have often been associated with poor clinical outcomes. While multiple clinical studies have proposed different treatment approaches to manage these defects, there is still no consensus on the ultimate techniques to approach these cases. I In this presentation, we are explaining the biological rationale behind the limited healing associated with through-and-through defects. We are also presenting a new classification on how through-and-through lesions may present clinically, together with clinical approaches to detect and manage these defects for a more predictable healing and bone remodeling.