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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