Apicoectomy

Apicoectomy

Also, called a root end surgery is an endodontic surgical procedure in which the root tip of the tooth is removed. The root end cavity is then filled with a biocompatible material. The procedure of apicoectomy is carried out if a conventional root canal therapy had failed and a re-treatment is not advised.

Most Common Reasons of Root Canal Failure are:

• Cracked or broken tooth
• Cyst formation around the tooth
• Teeth with unusual root forms
• Root channels that are secondary and cannot be cleaned

Even if the root canal didn’t work; the teeth can be saved by following this procedure of apicoectomy.

Apicoectomy Procedure

It is an oral surgery that is performed to save the tooth from being pulled out. This procedure keeps your tooth intact. Tip of each root is called the apex and the teeth are held in place by tooth roots. This apex acts as an entrance for blood vessels and nerves into the tooth. In apicoectomythe infected tissue is removed along with the apex and then sealed with a filling.

It is also known by the name of endodontic microsurgery and is performed with a surgical microscope. Depending upon how complex the root structure and the location of the tooth is, this procedure usually takes between 30 to 90 minutes in order to get completed. Apicoectomy is mostly performed by an endodontist or by a root canal expert.

Before Apicoectomy

Before the procedure you will have to consult your maxillofacial surgeon. Few X-rays will be taken of your tooth and gums around it. If the need arises you will be prescribed an antibiotic medicine. Intravenous sedation or local anesthesia will then be given accordingly.

After the Procedure

Doctor will recommend applying of ice on the treated area and for initial 2 days a soft diet will be recommended. Swelling may arise on the lip, gum or cheek. It is important to keep in mind that the patients do not have to rigorously brush the teeth or rinse. Also, one must avoid smoking as it delays the healing process. All discomfort and pail will be gone after 2 weeks.

Apicoectomy Recovery Tips

As far as any dental surgery is concerned, it is essential to take proper post-operative care in order to avoid prevent any infections or further complications. Mentioned below are some recovery tips to keep in mind:

• Apply ice for 10 to 12 hours after surgery
• Avoid eating hard food
• Avoid brushing and rinsing the operated area too  vigorously
• Take proper medication as prescribed
• Over the counter pain medication to be taken for any discomfort