Root End Surgery
An apicoectomy, also known as apicoectomy, root resection, retrograde root canal treatment or root-end surgery, is a minor surgical procedure in which the very tip of the tooth’s root is removed and sealed.
Overview of Root-End Surgery
Teeth have one or two or three roots due to their type. Each tooth has a root canal and a pulp which contains living connective tissue, blood vessels and nerves. Apicoectomy is necessary when the infection is progressing and does not disappear after nerve eruption (by root canal therapy). The root canals are complex, and apart from the main canal, several smaller branches may exist. It is possible that the infection remains in the branches after the root canal surgery, and causes reinfection. Apicoectomy is not a complicated procedure and has a high degree of success (more than 90%), especially if it is done by an expert.
- Patients whose root canal treatment or retreatment was not successful.
Before Root-End Surgery
It is recommended to do this method under the supervision of an endodontist or an expert dentist in root canal surgery. Before the surgery, the dentist takes some x-rays images from the teeth as well as the bones surrounding it and may prescribe antimicrobial mouthwashes and antibiotics to reduce inflammation and infection. The dentist will also check medical history and all the medications patient is takig include over-the-counter drugs, vitamins and supplements.
During Root-End Surgery
After prescribing local anesthesia and when patient feel completely numb, endodontist performs a small incision in gum and removes it from the teeth and bones. Sometimes the dentists may need a drill to access the root. Afterwards a small portion of the root tip and contaminated tissue will be removed. Then, the probability of tooth extraction is checked by using a special color to detect the teeth cracks. At the end, the teeth is cleaned and closed. Radiography is taken from the tooth and surrounding area to ensure that the method is successful. After that, the endodontist returns the tissue and sutures it.
After Root-End Surgery
Endodontist will prescribe some medicines like antibiotics or painkiller for patient and they should take them as he said. Usually, patients will get bruised and swollen in the next day and it will continue for two days. They can put ice packs on that area. Also they should avoid tooth brushing in the surgical area and clean the teeth with mouthwash.