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This professional guide provides evidence-based recommendations for the prevention, diagnosis, and management of complications in endodontic surgical procedures. It details common risks including wound healing impairment, infection, and bleeding while addressing specific issues like maxillary sinus involvement and neurovascular damage. The text reviews surgical goals and outcomes for every procedural step, offering clear decision-making algorithms and flow charts. Preoperative, intraoperative, and postoperative risk factors are systematically identified alongside comprehensive treatment options.