Apicectomy

#Apicectomy is a #minor surgical procedure in which root tip is removed along with #periapical pathological tissue (#infected #tissue). Your #surgeon will remove about 3mm of root tip as certain #periodontal ligament fibers attached to the tooth root may also have infection.
It Is Done In :
  • Chronic (long standing) periapical infection.
  • Persistent Infection after root canal therapy.
  • Fracture at apical third of root.
  • Broken instruments in root (crossing root apex).
  • Root with overfilling of any dental restoration.

Procedure:
  • First and foremost it will start with Local Anesthesia administration.
  •  The surgeon will give an incision to elevate the flap.
  •  An opening is made with the help of micro motor to remove Pathological
    Granulation Tissue with the curettes.
  •  After this your dentist will remove the tip of tooth root (about 3mm).
  •  Retrograde filling (reverse filling) is done to seal the root tip.
  •  Furthermore the dentist will suture the flap back again to the original
    position.
  •  Suture removal is after one week.
Instructions for the patient:
  • After an Hour or so, consume cool beverages like fruit juice or ice cream.
  • Avoid hot foods/ drinks.
  • Similarly do not use hot pack instead apply cold compress on the affected
    area to relieve pain.
  • Avoid pulling of lips or cheek till suture removal.
  • Maintain proper oral hygiene.
  • Moreover after one week the patient should visit the Dentist.
  • Lastly your dental care provider will do suture removal and check the healing
    status clinically and by taking a radiograph.

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