Friday, July 22, 2016

Apicoectomy before and after

Apicoectomy is a surgical procedure usually performed only after a failed root canal treatment. The majority of failed non surgical root canals are caused by problems near the tip (apex) of the root. An apicoectomy is generally performed after a tooth has had an unsuccessful root-canal treatment. The dentist will open and lift the gum away from the tooth so the root is easily accessible.


The infected tissue, called granulation tissue, will be removed along with a small part of the root tip.

If you are a candidate for an apicoectomy , you will need to meet an endodontist, a dentist who has two years of extra education in certain dental procedures like root canal and apicoectomy. Before the surgical procedure, an x-ray of the tooth and the surrounding structure is obtained. The antibiotics and anti-inflammatory medication prescribed before or after apicoectomy might interfere with other types of medication.


Moreover, given the high anesthesia dosage required by the procedure, patients with high blood pressure might not be qualified to undergo this procedure. What is an Apicoectomy and Why Should I Have One? This can happen soon after the procedure or many years following it.


The failure of an endodontically treated tooth can lead to pain, swelling or both. This usually is done after a failed root canal treatment and involves the sealing of this infected tip area with a biocompatible material.

It is also known as root-end resection. Unlike traditional root canal treatment, an apicoectomy is a surgical approach through the gum. During root-canal treatment, the canals are cleaned and inflamed or infected nerve tissue is removed as a goal of this procedure. After week of apicoectomy felt a bump again in my nostril a little bit upper than before. And I felt discomfort on my tooth.


How long should I wait after an apicoectomy before I have a tooth pulled? Is this normal after an apicoectomy? What to expect with an apicoectomy? How successful is an apicoectomy?


If you have diabetes, ask your physician and dental provider for ways to manage your condition prior to and following the procedure (i.e. diet, insulin, and hyperglycemic medication administrations). Apicoectomy procedure failed to relieve pain apicoectomy suregery pain and swelling apicoectomy Apicoectomy related problems Is my root canal infected? If the same practitioner performs the apicoectomy and the endodontic stabilization, the apicoectomy is best performed at the same visit, just before insertion of the endodontic stabilizer. The stabilizer osteotomy preparation and insertion can be performed before closure of the apicoectomy.


This procedure is generally only considered after a traditional root canal has been done and was not successful. Your apicoectomy will likely be done by an endodontist, a doctor who is also a dentist but specializes in saving your smile. A treatment called apicoectomy can make that infection go away and preserves the tooth.

Sometimes after a root canal, debris and infection persist. Some minor bleeding is expected after apicoectomy. It will usually subside quickly, and stop within an hour or two after surgery. A little oozing is normal and may persist for several hours. How Is Apicoectomy Surgery Performed?


In order to get rid of this infection, the Apex (tip) of the root has to be cut out, removed and the surrounding bone cleaned. Once this is done, a special plug will be placed into the main root canal to seal it called a “Retro-fill”.

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