A root canal endodontist can help repair and then save an infected or badly damaged tooth. With proper care, teeth that have had root canal treatment can be kept for a lifetime. But sometimes teeth can heal improperly and become painful or diseased after some months or even years after treatment. As much as this…
What Is an Apicoectomy Procedure?
An apicoectomy is much like a root canal procedure. In a traditional root canal, the endodontist removes the infected pulp from the root canal space of the tooth. Once the endodontist fills the clean space, the tooth will return to its normal function. Apicoectomy also prevents the root canal from re-infection. If you want to know what apicoectomy is, here are the details.
Apicoectomy lasts for about 30-90 minutes, depending on how complex the case is. During this procedure, the endodontist will inject a local anesthetic in the area. Then, the endodontist will incise the gum near the tooth. The endodontist will push the gum aside to reach the tooth’s root and infected gum tissue. Once there is access to the tooth, the endodontist will remove the infected tissue and a few millimeters of the root.
The endodontist will clean the inside part of the tooth and seal it with a tiny filling. This will prevent any infection from recurring. The endodontist may take another dental X-ray. The scan will make sure that the jaw and tooth look fine. It will also show the endodontist that there are no vulnerable spaces left.
Small stitches will close the gum tissue. Proper wound care will help the gum tissue to grow back. With time, the bone around the sealed root will heal in a few months. As the patient heals, the discomfort and pain will dissipate.
Why a patient needs an apicoectomy
A patient would need this endodontic surgery if the root canal procedure was not successful in clearing infected and necrotic tissues. Re-infection often occurs. It is a sign that the problem is close to the apex or the tip of the root. Endodontists recommend an apicoectomy as a final solution after at least one attempt at a root canal treatment. This procedure preserves the tooth. The alternative to this surgery is the extraction of the tooth.
An apicoectomy is helpful if there are anatomical problems with the root’s tip or crowding of the neighboring root. It can prevent issues that may spread to the neighboring teeth in the future. An endodontist often recommends this procedure to help the patient keep the tooth longer. If this surgery fails, then the patient must undergo a tooth extraction to stop the spread of the infection. By this time, the patient should get a removable denture, dental implant, or fixed bridge.
The recovery period
There will be some swelling and discomfort as the local anesthetic fades. This will go away after about three days. The patient can go back to daily activities after one to two days. Preventing postoperative infection is vital. That is why the endodontist will prescribe antibiotics. Anti-inflammatory and pain medications will help the patient counter the discomfort.
An apicoectomy is a procedure that can save your tooth
Infection in and around the tooth root can cause pain, swelling, and pus accumulation. If a root canal fails, the only remaining options are apicoectomy or dental extraction. An apicoectomy closes off the root by sealing the tooth from the root’s tip. Healing will then happen in the root, gums, and surrounding bone structure. An appointment with your endodontist will start your journey to better oral health.
Are you considering getting an apicoectomy in the Santa Rosa area? Get more information at https://santarosaendodontics.com.
Check out what others are saying about our services on Yelp: Read our Yelp reviews.
A broken tooth is one of those injuries that always seem to happen at the worst possible times. A common way that people chip or break teeth is by biting on something hard. Such injuries are more likely to occur when the tooth has already been weakened by tooth decay.The severity of the damage to…
Like most patients, you most likely visit an endodontist less often than a regular dentist. While you should have semiannual appointments with your family dentist, endodontic dentistry is for corrective procedures and severe dental conditions. With some oral disorders and issues, either of these professionals can provide relief. It is good to know which one…
A broken tooth can happen with an injury to the mouth or from dental problems. A sports injury to the face, a car accident, or a lost filling are common ways for teeth to break. These situations can be frightening and traumatic, but a dentist can save a damaged tooth in some cases. The key…