Resection of the apex of the tooth root

Modern surgery involves performing all sorts, and even very complex, operations. Many dental diseases also have to be treated surgically. One such dental surgery is the resection of the tip of the tooth root, or, in medical terms, apicoectomy.

The main purpose of the intervention is to remove the tissue element damaged by the pathological process. The very body of the tooth is preserved. The procedure is considered quite complex, so more detailed information about it will not be superfluous.

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Indications for resection of the apex of the tooth root

Apicocectomy is prescribed for the treatment of patients with complicated periodontitis, which occurs with the formation of cysts, granulomas, or with infection in the root canal. The cystic element is usually attached to the apex of the tooth root.

In which cases do you have to resort to surgery?

• When the root canals are treated poorly, when in some parts of the untreated canal an infectious focus arises that provokes the development of a cyst.
• If there is a pin or a tab in the root canal, it can damage the tooth root when trying to remove the cyst.
• When treating a tooth cyst, on which a crown is installed, with sealed root canals.
• Cystic education of more than 10 mm is a clear indication of surgical intervention.

Like most surgical operations, resection of the root of the tooth, in addition to indications, also has some contraindications that must be considered when initiating the intervention:

• looseness of teeth;
• acute infectious processes in the body;
• serious cardiovascular pathologies;
• acute periodontitis;
• significant damage to the tooth's body;
• cracks in the tooth root.

Technique for resection

The procedure of apykektomii usually lasts not more than one hour. This may depend on the location of the tooth relative to the dentition. Easier to treat the front row of teeth.

Operative intervention is carried out in stages.

1. The patient is prepared for the procedure. If the channels of the affected tooth were not sealed, then they are sealed for a day or two before the operation, but not earlier.
2. Intervention occurs with local anesthesia. Preliminary the patient is checked for the likelihood of an allergy.
3. The surgeon makes an incision in the gum area, exposing the bone in which a hole is made to access the cyst.
4. Through the hole, the doctor cuts off the root apex along with the cyst.
5. After removal of large-sized cysts, the cavity formed is filled with an artificial bone tissue. If the cyst was small, then this step is skipped.
6. The surgeon sutures the incision in the gum, leaving a small area for draining.
7. To prevent bleeding, the doctor applies cold for 20-30 minutes. Also it serves as prevention of edema and hematoma.

After the procedure, the patient is recommended to carefully observe the rules of oral hygiene, rinse the tooth with anti-inflammatory solutions.

Take food can not earlier than 3 hours after the intervention. In this case, the products must be ground and should not contain solid particles.

The patient is issued a certificate of temporary incapacity for work until the seams are removed. Usually this happens on the 5-7th day.

If you do not follow these rules, then the cyst can develop again. In this case, repeated resection of the apex of the root of the tooth may be required.

Consequences after resection of the apex of the tooth root

What can be the consequences after the procedure of apycoectomy? Most often these are such complications as:

• bleeding;
• Perforation of the wall of the maxillary sinuses;
• incomplete removal of the hearth;
• inflammatory reaction;
• traumatic nerve damage.

In addition, the cyst can develop repeatedly: most often it occurs after an illiterate resection, or if the rules of oral hygiene are not observed.

During the recovery period, antibiotics prescribed by the dentist should be taken. If the treatment is ignored, or the treatment regimen is changed, then the pathology can be re-developed.

Complications after resection of the tip of the root of the tooth - for example, suppuration of the wound, are reduced to zero, if you observe all the necessary aseptic rules and take antibiotics.

After the operation, the life of the affected tooth does not differ from that of healthy teeth. The main thing - carefully follow all the recommendations of the treating doctor.

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What if the tooth hurts after resection of the tip of the root?

Pain arising after resection of the apex of the root may be a sign of complications such as:

• perforation of the maxillary sinuses;
• damage to the alveolar nerve;
• development of purulent process in the wound;
• poor-quality cleaning of the operating cavity and relapse of the cyst.

In addition, it is important to take into account the nature of pain: aching, shooting, increasing with biting, constant, periodic, etc.

If after the operation there was a pain, then to clarify the diagnosis must take into account other related signs:

• increased body temperature;
• increased pain when the head is tilted;
• excessive sensitivity of the affected tooth;
• congestion in the nose, etc.

To clarify the diagnosis and make a plan for the necessary treatment, it will be necessary to conduct some examinations, in particular, radiography and orthopantomography.

Recovery after resection of the apex of the tooth root

As we have already said, the procedure for apicoectomy is a complex operation, the duration of which is about 1 hour. With all the recommendations of the doctor, recovery is relatively quick.

For 2-3 days, significant physical activity should be avoided.

You can eat already after 3 hours after the intervention, but only warm and liquid food. In the future it is recommended to give up too hot and cold food, as well as from too salty and acidic foods.

It is undesirable to carry out aggressive teeth whitening in the future.

The first few days after surgery can be worried about swelling of the tissues and minor pain. However, with the use of antibiotics and analgesics, the wound quickly heals, and the pain passes without a trace.

The operating surgeon can prescribe a prophylactic radiography 2-3 months after the intervention to make sure that the infectious process has been successfully stopped.

For 3 months after the procedure, it is advisable to avoid eating solid foods such as nuts, seeds, etc.

In the overwhelming majority of cases, resection of the tip of the tooth root helps patients retain the tooth with its basic functions, and also prevent many dental problems in the future.