Advanced technology makes it possible to preserve a tooth even in the most complicated clinical cases.
Root apex resection - is one of the few surgical treatment options making it possible to preserve patients’ own teeth.
STAGES OF TREATMENT
Before the procedure, a thorough examination is carried out, an X-ray examination (cone beam computed tomography) to clarify the diagnosis and indications for surgery.
If possible, prior to the procedure, the root canal of the tooth, which caused the development of the inflammatory process, is filled up to the apex.
Under local anaesthesia, access is made through the gum and bone, the root apex of the tooth is cut off. Also, the focus of inflammation and other build-ups, all altered tissues around the root apex are removed.
Once the resection procedure is complete, the dentist performs the procedure of cleaning and filling the canal from the side of the root apex (retrograde) using bioceramics.
The gums are sutured.
In the process of surgical intervention, if necessary, a variety of plastic materials of organic and inorganic structure are used to create and restore bone volume.
Dentists believe that a patient's own tooth performs functions much better than any artificial replacement. Even if the crown of the tooth is completely destroyed, it can be used as a support for installation of bridges and other prosthetic dentures.
Despite the development and improvement of dental services, periodontal diseases – disease of the connective tissue between the root of the tooth and the baseplate of alveoli – are still rated the third in terms of utilisation of services at the clinics. Those may include acute and chronic periodontitis.
Not so long ago, when conservative methods of treatment in the fight against chronic foci of infection were ineffective, teeth were removed. Now, a physician will decide whether removal is necessary and whether it is possible to carry out a tooth-preserving procedure. One of the types of such operations is resection (cutting off) of the apex of the tooth root. The cost of the procedure depends on the complexity of the intervention, the tooth it is performed on – single-rooted or multi-rooted, whether it is done on the upper or lower jaw.
Indications and contraindications for root apex resection
The procedure is shown:
- - In cases of a chronic inflammatory process in the periodontium, which cannot be eliminated by other methods, as well as in cases of obstruction of the root canal or root curvature.
- - In the presence of cysts and other formations in the area of the root apex.
- - In the absence of the effect of a performed treatment.
- - In cases of excessive deposition of the filling material outside the root canal.
No tooth-preserving procedure should be performed, in case the patient:
- - suffers from acute periodontitis,
- - has tooth loosening or mobility,
- - has exposure of the dental cervical line,
- - misses a part of the anterior alveolar wall and/or a significant part of the crown,
- - suffers from severe concomitant diseases.
Recovery after root apex resection
During the recovery period, the gums may swell, so ice is applied. A physician prescribes painkillers to reduce possible postoperative pain. Antibiotics are prescribed to prevent infectious complications. The symptoms will gradually disappear as the mucous membrane heals. Typically, it will resolve in 5-7 days. Liquid foods, rather than solid are recommended at this time.
Sometimes, root apex resection can be part of the complex treatment of severe periodontal diseases (a complex of tissues surrounding the tooth) and endodontics (tooth pulp), the so-called endodontic-periodontal syndrome.
The earlier a cyst or exacerbation of chronic periodontitis is detected, the easier it is to cure them. Therefore, one has to undergo regular preventive examinations at least once a year, resort to professional oral hygiene services, pay attention to healthy and filled teeth, including those under dental crowns.
For this apical surgery, the procedure is performed using a microscope and high-grade materials.
DOCTORS WHICH FOLLOW THIS SERVICE
Country of study: Germany
Country of study: Hungary
Country of study: Czech Republic
Country of study: USA
AND NOW PRICES
YOU CAN APPEAL. SERVICES AND TECHNOLOGIES
Now dental clinics strive to ensure that the treatment will be not only effective and safe, but also comfortable for the patient.
Modern methods of anesthesia can provide complete analgesia, but sometimes they cannot cope with the fear of treatment or tooth extraction. Dental treatment with sedation is a comfortable solution to such issues.