An apicoectomy is a microsurgical procedure where the very tip of a tooth's root is removed, along with any surrounding infected tissue. The root-end is then sealed with a small filling to prevent future infection. This procedure is typically considered only after a tooth has already undergone root canal treatment and the persistent problem isn't resolvable through non-surgical retreatment.
The Final Step in Saving Your Tooth: Understanding Apicoectomy at Adelaide Gum Doctor with Dr. Deon Naicker
Even after successful root canal treatment, sometimes persistent infection or inflammation can occur at the very tip (apex) of the tooth root. In these specific situations, Dr. Deon Naicker at Adelaide Gum Doctor may recommend an apicoectomy. This minor surgical procedure is often the final step in saving your natural tooth when other endodontic treatments haven't fully resolved the issue. Let's explore what an apicoectomy is and why it might be necessary.
- Persistent Infection: Infection or inflammation remains at the root tip even after treatment.
- Blocked Root Canal: If the root canal is blocked or inaccessible.
- Root-End Damage: Root tip damage that cannot be repaired from within the canal.
- Fractured Root Tip: Removal of a fractured root tip causing issues.
- Complex Root Anatomy: Accessory canals at the apex harbor persistent infection.
- Diagnosis and Assessment: Detailed exam with 3-D CBCT imaging.
- Anesthesia: The area is numbed with local anesthesia.
- Gum Tissue Access: Small incision made to expose the root tip.
- Root Tip Removal: Infected tissue and a few millimeters of root removed.
- Root-End Sealing: Biocompatible filling seals the root canal tip.
- Tissue Repositioning: Gum repositioned and sutured.
- Healing: Recovery usually takes a few days to a week.
The procedure is performed under local anesthesia, so you should not feel any pain during surgery. Some mild discomfort, swelling, and bruising are normal afterwards and usually managed with over-the-counter pain relief and ice packs.
- Saves Your Natural Tooth: Provides a final option before extraction.
- Eliminates Persistent Infection: Removes inflamed tissue at the root tip.
- Alleviates Pain: Resolves ongoing discomfort.
- Preserves Jawbone: Prevents bone loss by maintaining your tooth.
- Keeps Alignment: Prevents shifting of adjacent teeth.
- Expert Surgical Skills: Specialized endodontic microsurgery by Dr. Naicker.
- Advanced Imaging: 3-D CBCT for precise planning and outcomes.
While root canal treatment is often successful, an apicoectomy offers a valuable final step in saving your natural tooth when challenges arise at the root tip. If you have persistent issues after a root canal, contact Adelaide Gum Doctor to discuss if an apicoectomy with Dr. Deon Naicker is the right solution for you.
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