Prevention and management of soft tissue complications in endodontic surgery

Igor Tsesis*, Eyal Rosen

*Corresponding author for this work

Research output: Chapter in Book/Report/Conference proceedingChapterpeer-review


Operator-related factors such as preoperative planning of the surgical procedure, correct flap design, and soft tissue management, as well as patientrelated factors such as the gingival biotype and the periodontal condition, may influence the risk of soft tissue complications following endodontic surgery. The clinician should be aware of possible anatomical pitfalls during flap procedure, such as adjacent neurovascular bundles. In order to avoid flap dryness and possible tissue necrosis and delayed healing, it is recommended to perform a short-duration surgery with a constant irrigation of the reflected tissues with saline. Different flap designs may be predisposed to different risks of complications. Intra-sulcular flaps are prone to gingival recession, submarginal and semilunar flaps are prone to scar formation, and a controversy exists whether papilla-based incision is prone to gingival recession and if papilla preservation incision may prevent gingival recession.

Original languageEnglish
Title of host publicationComplications in Endodontic Surgery
Subtitle of host publicationPrevention, Identification and Management
PublisherSpringer Berlin Heidelberg
Number of pages11
ISBN (Electronic)9783642542183
ISBN (Print)9783642542176
StatePublished - 1 Jan 2014


Dive into the research topics of 'Prevention and management of soft tissue complications in endodontic surgery'. Together they form a unique fingerprint.

Cite this