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Apicoectomy

What is it?
Your teeth are fixed to your jaw bone. The front teeth usually have a root. Other teeth, such as your molars and molars, have two or more roots. The tip of each root is called the apex. The nerve and blood vessels pass through the apex into the tooth and pass through a canal in the root canal to enter the pulp cavity, the crown of the tooth (the visible part of the tooth in the mouth).
A surgical resection may be required after root canal therapy or retreatment, when the infection develops or continues. During the treatment of the root canal, the canal was cleaned, inflamed or infected tissue removed. The root canal is very complex and has many small branches on the main canal. Sometimes, even after root canal treatment, infected fragments can remain in these branches and may prevent healing or re-infection in the future. In radical resection, the root or apex is removed with the tissue of the infection. The filling is then sealed at the end of the root.
Because the operation is performed under a surgical microscope, it is sometimes referred to as endodontic microsurgery.
What is it used for
Once the root canal is completed, the root canal is infected again, usually because of a problem near the root canal. Your dentist can do a radical resection to solve the problem so the teeth don't need to be removed. Only after one tooth has at least one root canal operation can the radical resection be performed.
In many cases, the second root canal treatment is considered before a bone resection. As dental instruments technology advances, dentists can often find additional canal without adequate treatment, by doing the second root canal procedure to clear the infection, thereby avoiding the need for apicoectomy.
Radical resection is not the same as radical surgery. In the root resection, the entire root is removed, not just the tip.
Prepare for
Before the operation, you will consult with your dentist. Your dentist can have a surgical resection, but with the development of the pulp microsurgery, it's best to move it to the pulp.
Your dentist may have an X-ray, and you may use antibacterial mouthwash, anti-inflammatory medication and/or antibiotics before surgery.
If you have high blood pressure, or if you know that you have an epinephrine problem in local anesthetics, let your dentist know about it in your consultation. Local anesthesia is used to double the amount of epinephrine (similar to epinephrine) for a radical resection of the operation, and when you fill it with anesthetics. The extra adrenalin constricted blood vessels to reduce bleeding near the surgical site, so that the root of the pulp can be seen. After receiving a local anaesthetic, you may feel a rapid heartbeat, but this will fade in a few minutes.
How does it work
The pulp tube cuts off and pulls the gums out of the teeth so the roots are easily accessible. The infected tissue will be removed as the last few millimeters of the root tip are removed. He or she will use a dye that highlights cracks and fractures in the teeth. If the tooth is ruptured or ruptured, it may need to be removed and cannot continue with a radical resection.
To complete the radical resection, clean and seal the slots 3 to 4 mm. Cleaning is usually done under a microscope with an ultrasound machine. The use of surgical microscopes increases the chance of success, as the light and magnification allow the pulp to look at the region better. Your endodontic physician will perform an X-ray examination before the tissue is stitched.
Most removal procedures take between 30 and 90 minutes, depending on the location of the teeth and the complexity of the root structure. Incisors are usually the shortest procedures. Those upper molars are usually the longest.
Follow up
You will receive instructions from your pulp doctor to tell you which medications to take, what you can eat, and what to drink. After the operation, you should apply 10 to 12 hours in this area during which time to rest.
There could be bruises and swelling in this area. The second day of surgery may be more swollen than the first day. Any pain can usually be controlled by non-steroidal non-steroidal anti-inflammatory agents such as ibuprofen, Motrin, or prescription drugs.
To get healthy, you should avoid brushing your teeth in the area, swishing your mouth, smoking, crunching food or eating hard foods. Do not lift your lips to check this area, as this may destroy the formation of blood clots and relax the sutures.
You may have several days or weeks of numbness in the trauma of surgery. This does not mean that nerves are damaged. Tell your dentist about any numbness.
Your sutures will be removed two to seven days after surgery, and all the pain and swelling usually disappear 14 days after surgery.
Although a radical resection is considered a surgical procedure, many people find it much easier to recover from a radical resection than from the original root canal treatment.
risk
The endodentists will review the risk of surgery during consultation. The main risk is that surgery may not work properly and it may be necessary to unplug the teeth.
Depending on the location of the teeth, there may be other risks. If the tooth is located at the back of the palate, the infection may affect your sinuses, and your dentist may recommend using antibiotics and decongestants. The root of the lower jaw is close to some major nerves, so there is a slight risk of nerve injury in these teeth. However, your pulp doctor will use your dental equipment x-rays to see how far the root is to the nerve, and the chances of anything happening are small.

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