An Apicoectomy is a specialized dental procedure, whereby part of the root is removed from a tooth.
The general purpose of an apicoectomy is to save an injured or diseased tooth from extraction. Most dentists agree that there is no better alternative than retaining a healthy natural tooth, and the apicoectomy procedure makes this possible. Dental implants, extensive bridgework and custom-made tooth replacements can be expensive and time-consuming. Generally, apicoectomy and the necessary crown work are less expensive and can be completed in 1-3 short visits.
When is an apicoectomy necessary?
It is important to note that an apicoectomy can only be performed on an otherwise healthy tooth. Suitable teeth for an apicoectomy have a healthy tooth surface, strong bone support and healthy underlying gums.
There are several problems that may lead to an apicoectomy including:
What does an apicoectomy involve?
Prior to the procedure, it is necessary to perform root canal treatment. The apicoectomy removes all or part of the root exposing the inner structures. For this reason, the pulp of the tooth including these vessels and nerves needs to be removed before sectioning the roots.
During the apicoectomy procedure, a small incision will be created in the gum to expose the roots of the affected tooth. The root will be sectioned off from the rest of the tooth and then removed. To kill any remaining bacteria, the whole area will be cleansed with saline solution, and then sutures (stitches) will be applied to seal the incision.
Depending on the specific situation, painkillers, antibiotics and a medicated anti-microbial mouthwash may be prescribed. In 7-10 days, the stitches will be removed and the gum will have healed.
If you have any questions or concerns about root amputation, please ask your dentist.
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