Endodontic microsurgery combines magnification and illumination, provided by the microscope, with the right use of latest micro-instruments. Modern endodontic microsurgery has a reported success rate of up to 93.5% through reduction of periapical lesion size instead of complete healing, and a success rate of up to 70-80% using strict criteria, making it a viable treatment choice for the management of periapical disease when orthograde root treatment is not possible or inappropriate. The advanced technologies, applied to medical surgical specialties, have delivered to exceptional progresses,...