Microsurgical endodontics is an advanced dental procedure that uses a microscope and special instruments to perform treatment with high precision and minimal invasiveness. It follows the same basic biological principles as traditional endodontics: Shaping, Cleaning & Packing. These steps — cleaning the area, shaping the root, and filling it—are adapted to the surgical context but aim to remove infection and seal the root effectively.
The success of the surgery depends on the ability to adapt each step to the real anatomy of the tooth and any possible complications, rather than following a fixed plan. It’s important that the anatomy guides the apical resection, not the other way around. A flexible and personalized approach helps protect healthy tissue, improves visibility, and makes the procedure easier and more successful.
Prof. Dr. Fabio Gorni is the Head of the Micro Endodontic Surgery Course at the Dental School, University Vita-Salute San Raffaele in Milan, and Founder of Style Italiano Endodontics. He is a Past President of the Italian Society of Endodontics (SIE) and maintains a private practice in Milan, Italy.
A graduate of the Milan Dental School (1984), Prof. Gorni also serves as a Visiting Professor in the Department of Endodontics at S. Paolo Hospital, Milan. Over the years, he has held several key positions within the Italian Society of Endodontics, including:
Member of the Admission Committee (1994–1998)
Cultural Secretary (1998–2001)
President (2003–2005)
Prof. Gorni is an internationally renowned lecturer and has published extensively in both national and international journals. Together with C.J. Ruddle, he co-produced the acclaimed video series “The Endodontic Game”, distributed across Europe, the USA, Canada, Australia, and Asia.
He has contributed chapters to five major endodontic textbooks and is the author of two recent international works: “Endodontic Retreatment” (2022) and “Tooth vs Implant” (2023).
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