A tooth affected by caries can present unpredictable outcomes. While the infection may initially be limited to the crown, it can progress to involve the roots. In some cases, the infection may extend beyond the apex, necessitating advanced treatment beyond standard fillings or root canal therapy. Procedures such as apicoectomy may be required in such instances. The Hollywood, Florida dentist, and their team have expertise in performing apicoectomies with great compassion and precision.
A comprehensive guide to apicoectomy
Apicoectomy, also known as root end surgery, is a minimally invasive endodontic procedure designed to address infection by removing the infected root tip and preparing a root end cavity. This cavity is then filled with a biocompatible material, effectively sealing the apex to prevent the spread of infection to surrounding structures.
Root canal therapy (RCT) effectively addresses pulp exposure and inflammation, but in cases of treatment failure and persistent infection, apicoectomy becomes necessary. This procedure aims to eliminate any remaining infection and preserve the function of the affected tooth, ultimately preventing extraction.
When is apicoectomy recommended?
Apicoectomy may be recommended for the following reasons:
- Small adjoining root branches
- Failure to seal tiny root branches through RCT
- Blocked root canals
- Fractured files stuck in a root apex during RCT
- Narrow or curved canals
- Poorly shaped root canals that do not allow the endodontic files to reach the root tip
The procedure involved
The affected tooth will be evaluated clinically and through panoramic X-rays to design the exact course of action. You will be prescribed antibiotics to treat the underlying infection before you are scheduled for surgery.
The procedure is as follows:
- Your dentist will administer local anesthesia to numb the affected tooth
- A small cut (incision) will be made in the gums near the affected tooth.
- The root will be exposed by lifting the gum flap.
- To gain clear access, a tiny fraction of the jawbone will be removed.
- The edge of the root tip and the infected tissue will be removed with special ultrasonic instruments.
- The root(s) will be sealed with a biocompatible material, and the dentist will close the incision through sutures.
Your dentist will furnish you with comprehensive instructions regarding necessary precautions and medications. Typically, sutures are removed within 7 to 10 days, but complete tissue healing may require several months. When you encounter any lingering pain or discomfort post-root canal therapy, promptly consult your dentist for additional evaluation.
