Let’s Remove Infection With The End Of The Root Tip!
If you have had a root canal procedure, but that same tooth is giving you problems again, your dentist may suggest a different dental procedure— an apicoectomy. It is a small or minor surgical procedure that takes off the apex, or very tip, of the tooth’s root. It is also known as root end surgery, root resection, retrograde root canal treatment, or root-end filling, which might be needed if an infection develops or continues after a root canal. Hence, mostly it cures an infection developed post-root canal. Here, the dentist opens the gum tissue near the tooth to check the underlying bone and to eradicate if any inflamed or infected tissue is prevailing. At first, the tip of the root is also removed by the treatment, and then the small filling is placed in the root to close the end of the root canal, and a few stitches or sutures are put in the gingiva. This helps to make the tissue to be healed properly. Hence, over months, the bone heals around the end of the root.
Need Of The Apicoectomy Procedure
An apicoectomy might be necessary if an infection develops or continues post-root canal. If this is recommended for you, it means a conventional root canal treatment cannot recover your tooth. Most of the time, the only alternative to an apicoectomy is removing the tooth, which could affect adjacent healthy teeth. The objective is to preserve the function of your natural tooth. This procedure also helps if:
- You have prolonged symptoms, but no problems appear on your x-ray, your tooth may have small fracture or canal that could not be discovered during nonsurgical treatment. In such a case, this surgery allows your endodontist to examine the entire root of your tooth and solve the problems.
- Your tooth has “calcification,” your endodontist may perform endodontic surgery to clean and seal the remainder of the canal.
- In some cases, a tooth may not recover or become infected after the root canal is done. A tooth may become painful or damaged months together or even years after successful treatment.
- Your root surfaces or surrounding bone are damaged.
Process of Apicoectomy
In this procedure, at first, local anesthesia is used to make you feel comfortable. During the treatment, an incision is done in the gum near the tooth to get rid of any inflamed or infected tissue. The gum is cut and raised to reach the root of the tooth. Your dentist will also replace the tip of the tooth’s root. The end of the root canal is fixed and closed with a minor filling, few stitches are used to seal the gum tissue, and the bone gets healed around the end of the root over some time. Depending on the individual case of the patients, the tooth can be treated endodontically (cleaning and widening of the tooth canal, and filling) before surgery or during the surgery.