Subperiosteal Minimally Invasive Apicectomy and Regeneration Technique (SMART) Approach for Endodontic Surgery

This case report demonstrates the subperiosteal minimally invasive apicectomy and regeneration (SMART) procedure, in contrast to the traditional flap technique, for the apicectomy procedure. A minimally invasive method of incisions was used, and a subperiosteal tunnel was created with mucoperiosteum elevation. After thorough debridement of granulation tissue, the apicectomy procedure was performed; a sticky bone graft was prepared and then placed into the surgical site. Postoperative healing was uneventful with better esthetics. This technique had the advantage of not using membranes and screws and better preservation of keratinized gingiva. This case underscores the significance of an accurate diagnosis, describes the SMART procedure for apicoectomy, and presents a treatment approach for addressing the potential to replace the traditional approach in the future.