Apicoectomy (or root-end resection) is an endodontic procedure that removes the end of an infected tooth's root. It is quite common for a root canal treatment to save an infected tooth from having to be extracted. However, what happens if the infection reoccurs in the same tooth after the procedure? An endodontist may recommend an apicoectomy to repair the infected root and eradicate the pathogens that caused the infection.
If a root canal-treated tooth gets reinfected, an endodontist will often recommend an apicoectomy. Sometimes a second round of root canal therapy is necessary if the examination shows necrotic tissue was left behind after the first procedure. However, if that is not the case, an apicoectomy may be recommended. The procedure will be performed only if the prognosis is positive. Otherwise, tooth extraction might be needed instead.
X-rays and a full visual evaluation will be performed during the appointment. The dental professional will use diagnostic imaging to determine the exact location of the infection and the amount of tooth structure that they must remove to eliminate it.
A local anesthetic will be used to numb the tooth and the surrounding gums before the treatment begins. The endodontist will need to make a tiny cut in the gum line in order to get to the jawbone and the tooth root. Afterward, fractures or cracks that are difficult to notice can be identified with the help of a specific dye. The dental professional will proceed with tooth removal if the tooth cannot be saved. The apicoectomy will proceed if there is no fracture detected.
Only the damaged section of the root will be removed in this procedure. The endodontist will also remove any inflamed tissue that has formed around the tooth root. Afterward, they will sterilize and clean the remaining part of the root canal before sealing the root's end. Finally, the tissue is relocated, and the incision is stitched up.
Patients will be given post-operative instructions after the procedure. For the best chance of a quick and complete recovery, it is important to adhere strictly to these instructions. Adequate rest is important since strenuous exercise increases the risk of bleeding and edema (swelling). Apply a cold compress over the jaw for 20 minutes at a time for the first 24 hours. Over-the-counter ibuprofen or naproxen may be used to reduce swelling.
Avoid brushing the region for the first several days; instead, use an antibacterial rinse to keep it clean. The area around the incision might be irritated by hard, crunchy foods, so these should be avoided. A few days of discomfort, swelling, and bruising are normal after treatment, and complete recovery usually occurs during the second week.
Have you been experiencing a painful or irritated tooth after root canal treatment? You may benefit from an apicoectomy. We encourage you to contact our Omaha dental office today to schedule an endodontic consultation.
Request an appointment here: https://www.advancedendotherapy.com or call Advanced Endodontic Therapy at (402) 403-6988 for an appointment in our Omaha office.
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