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Apicoectomy

What is a Apicoectomy?

An apicoectomy, also known as root-end resection or root-end surgery, is a surgical dental procedure performed to treat certain types of persistent tooth infections or problems associated with the roots of a tooth. This procedure is typically considered when a conventional root canal treatment has not been successful or when retreatment is not feasible.

Why Apicoectomy recommended?

Here are some common reasons why an apicoectomy may be recommended:

Persistent Infection

If an infection or inflammation continues to affect the tooth and its surrounding tissues despite undergoing one or more root canal treatments, an apicoectomy may be considered.

Complex Root Canal Anatomy

Some teeth have complex and intricate root canal systems that may not be fully treatable through conventional means.

Root Canal Retreatment is Not Possible

There are situations where retreatment of a previous root canal therapy is not feasible or advisable.

Cyst or Granuloma Removal

Apicoectomies are used to remove cysts, granulomas, or other pathological lesions that may have developed at the root tip.

Preservation of the Natural Tooth

Whenever possible, dentists aim to save natural teeth because they offer better functionality and aesthetics compared to prosthetic replacements like dental implants or bridges.

Patient's Preference

Some patients may prefer to exhaust all efforts to save a natural tooth before considering extraction and replacement options.

FAQ's

An apicoectomy, also known as root-end resection, is a surgical dental procedure performed to treat persistent tooth infections or issues associated with the root tip of a tooth.

You may need an apicoectomy if you have a persistent infection or dental problem related to the root of a tooth that has not responded to other treatments, such as conventional root canal therapy or retreatment.

A root canal treatment involves cleaning and disinfecting the entire root canal system within the tooth. An apicoectomy, on the other hand, involves surgically removing the infected or damaged tissue at the root tip and sealing the root-end to prevent further infection.

The procedure is performed under local anesthesia, so you should not feel pain during the surgery. Some discomfort or mild soreness may be experienced after the procedure, but it can usually be managed with over-the-counter pain relievers.

An apicoectomy typically takes about 30 minutes to an hour, but the exact duration can vary depending on the complexity of the case and the tooth being treated.

The success rate of an apicoectomy is generally high, especially when it is performed by a skilled and experienced dental professional. Success depends on factors such as proper cleaning, sealing of the root-end, and good post-operative care.

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