Periapical Microsurgery 1


Course Objective

Competences covered according to the General Educational Framework
Dentistry 2008: I a-j (5), Il (5), III d, g (5)
The student
• has an understanding of the anatomy of the teeth and surrounding
• is able to explain the rationale for endodontic surgery and the
difference between past concepts and current microsurgery concepts
• is familiarized with current procedures to perform apical
surgery.* He must also critically assess different methodologies and
materials utilized for surgery.
• acknowledges the limitations and risks of periapical surgery and
is familiarized with contraindications for endodontic surgery
• is able to take intra oral images during endodontic surgery for
• is able to utilize CT scans for diagnostic purposes as
preparation for surgery

Course Content

This course is meant to give adequate knowledge of biological and
clinical concepts that relate to apical surgery. * A combination of
theoretical seminars, self-study and assignments will be held weekly.
The specific topics in this module are:
• Indications for endodontic surgery
• Anamnesis, contra-indications
• Local Anesthetics
• Hemostasis
• Soft tissues (anatomy and tissue-management)
• Hard tissues (anatomy and tissue-management)
• Resection, Root end preparation and – filling
• Wound closure , Suturing and Wound healing

This clinical course is designed to bring the second-year students to a
level that enables them to perform apical surgery at the start of the
second semester (after passing the exam), under supervision of a staff
member of the surgery team.

Teaching Methods

Self-study; Seminars; Working group; Presentation; Pre-clinical lab
work; Clinical work

Method of Assessment

Learning assessment
• Overall assessment of assignments during the seminars (grade: Good;
Pass; or Fail)
(grade: good / pass / fail)
• Literature seminars (limited to the subject of endodontic surgery)
(grade: Good; Pass; or Fail)
• Written exam (grade: 1-10)

• A prerequisite for grade registration (grade 1-10) is successful
completion of the seminar assignments and literature seminars. In case
of a fail for one or more of the seminar assignments and/or the
literature seminars and a pass for the written exam, a 5.0 will be
registered and students will need to retake the relevant seminar
assignments and/or the literature seminars.


• 4 textbooks (all compulsory reading):
- Color atlas of microsurgery in endodontics, Syngcuk Kim
- Practical Lessons in Endodontic Surgery, Donald E. Arens
- Surgical Endodontics, Gutmann & Harrison Ch 3 till page 73, Ch 4, Ch
5, Ch 10, 11 , 12, 13
- Torabinejad/Rubinstein: The Art and Science of Contemporary
Surgical Endodontics 2017
• Reader with selected research papers – all are compulsory reading

General Information

Course Code T_E2MSUR1
Credits 3 EC
Period Ac. Year (sept)
Course Level 500
Language of Tuition English
Faculty Faculty of Dentistry
Course Coordinator dr. H. Shemesh
Examiner drs. B.M.T. Tulp
Teaching Staff drs. B.M.T. Tulp
drs. F. Dommering

Practical Information

You need to register for this course yourself