Apicoectomy is an oral surgery procedure during which the apex of the tooth root is removed.
The procedure is carried out in local anaesthesia thus being painless, while recovery is short with anti-inflammatory and antibiotics being prescribed.
Pulpitis is an inflammatory process of the dental pulp, sometimes referred to as “inflammation of the dental nerve”. Treating pulpitis requires the tooth to be devitalised, i.e. root canal treatment to be performed. It is usually conducted in local anaesthesia by practicing a small hole in the tooth so to reach the canal and the damaged pulp, which is then removed. The canal is cleaned and enlarged with precision instruments and afterwards filled and sealed. The tooth is then closed with a temporary or definitive filling.
Root canal cleaning can sometimes be difficult, or even impossible, due to narrow and/or curvy canals.
If the first treatment fails, the afore-mentioned process is repeated, i.e. a revision of the filling is performed. Apicoectomy is usually proposed to patients as the last resort for saving the tooth.
Apicoectomy is also used in cases of granuloma, cists or dental abscess.
How the treatment works?
the doctor performs an incision directly on the gum, so to completely expose the root and remove the infected tissue
if necessary, i.e. if the damage to the bone is severe, artificial bone and membrane are used
Apicoectomy can be performed on both front and back teeth, but it is not advised in cases of with short roots or mobile teeth. An important factor is also the number of roots, in fact, the less are the roots the higher are the chances of a successful treatment.