Apicoectomy

Index

1. What is apicoectomy?

2. Why is it performed?

3. What does it consist of?

4. Preparation for apicoectomy

5. Care after the procedure

What is apicoectomy?

Apicoectomy is a surgical procedure that removes an infectious process in the root of the tooth and also involves the tissues adjacent to this tooth. It is also called endodontic surgery.

Apicoectomy removes an infectious process in the root of the tooth.

Why is it performed?

The procedure is performed in cases where a root canal has not stopped the tooth infection. Also, the dental specialist performs apicoectomy when it is impossible to access the apex of the root, if there are false canals in the teeth or if any of them have been fractured.

What does it consist of?

The apicoectomy consists of opening the gum in an area close to the infected tooth and enough bone is removed to allow access to the root apex, also the affected tissues in surrounding areas are removed. The infectious cyst is then removed and the root is sealed with an added trioxide material. The wound is then sutured.

Preparation for apicoectomy

It is necessary to have good oral hygiene and to avoid smoking beforehand. It should be noted that it is a procedure that lasts between 60 and 90 minutes, and is performed under local anesthesia.

Care after the intervention

It is a simple intervention, so it does not usually generate serious discomfort. After the apicoectomy the area should be maintained with proper hygiene to avoid infection. Therefore, the specialist recommends chlorhexidine rinses during the week following the intervention and brushing the teeth after every meal, avoiding the affected area.

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At the same time, it is advisable to maintain a soft diet, with cold food during the 24-48 hours after surgery, as well as to avoid smoking or alcoholic substances. It is also important to apply cold to the operated area, keep the head slightly raised and do not play sports for 72 hours.