• Mustafa Merchant
• Ayesha Shaikh
• Shaziya Tarannum Sayyad
• Mariyah Sahar Shaikh
• Dr. Hussain Mookhtiar,Dr. Vivek Hedge

Endodontic microsurgery represents the pinnacle of contemporary endodontic retreatment, integrating sophisticated microsurgical techniques to address complex anatomical structures with precision. This literature review elucidates the significant advancements in endodontic microsurgery, highlighting the pivotal roles of the surgical operating microscope, advanced microsurgical instruments, and biocompatible materials such as Mineral Trioxide Aggregate (MTA). The evolution of imaging modalities, including Cone-Beam Computed Tomography (CBCT) and three-dimensional (3D) printed surgical guides, has markedly enhanced diagnostic accuracy and procedural efficacy. These innovations, coupled with the implementation of minimally invasive techniques, underscore a transformative shift towards patient-centric, outcome-oriented interventions. Technological advancements, such as the three-dimensional dynamic navigation system (3D-DNS) and piezoelectric surgery, have further refined surgical precision and efficiency, ensuring optimal clinical outcomes. The review also explores the necessity and contraindications for endodontic microsurgery, emphasizing the strategic application of biomaterials in periapical tissue regeneration. Additionally, it examines the clinical outcomes, success rates, and management of postoperative complications, underscoring the critical importance of guided tissue regeneration (GTR) in enhancing healing outcomes. Looking ahead, the integration of artificial intelligence (AI) and robotic-assisted procedures heralds a new era of precision in endodontic microsurgery. This comprehensive review underscores the transformative impact of technological advancements in endodontic microsurgery, highlighting the continuous evolution towards achieving superior precision, efficiency, and patient outcomes.

Endodontic Microsurgery (EMS), Operating Microscope, Micro instruments, Cone-Beam Computed Tomography (CBCT), Ultrasonic Tips, Mineral Trioxide Aggregate (MTA), Guided Tissue Regeneration (GTR), Three-Dimensional Dynamic Navigation System (3D-DNS), Biocompatible Materials, Piezoelectric Technology

"Pioneering Precision: Recent Advances in Endodontic Microsurgery", International Journal of Emerging Technologies and Innovative Research (www.jetir.org), ISSN:2349-5162, Vol.11, Issue 10, page no.b713-b724, October-2024, Available :http://www.jetir.org/papers/JETIR2410183.pdf

"Pioneering Precision: Recent Advances in Endodontic Microsurgery", International Journal of Emerging Technologies and Innovative Research (www.jetir.org | UGC and issn Approved), ISSN:2349-5162, Vol.11, Issue 10, page no. ppb713-b724, October-2024, Available at : http://www.jetir.org/papers/JETIR2410183.pdf