Root End Surgery – Apicoectomy
What is apicoectomy?
Apicoectomy is cutting off the root apex
Why is apicoectomy performed?
An apicoectomy is performed if the infection persists below root despite doing canal procedure more than once. Secondly, apicoectomy is performed if the infection under the root is very big and cannot be treated with just a root canal. An apicoectomy is often only recommended as a last resort for saving the natural tooth, which otherwise may have required extraction as the last possible treatment option.
What does an apicoectomy procedure involve?
During an apicoectomy, a very small incision is made to open the gum tissue near the apex of the tooth in which the infection is persisting. Now your dentist will remove the infected tissue along with the end of the root tip. Once this process is complete, the end of the tooth canal is cleaned and sealed. To finish the procedure, root canal filling is completed and a small filling is placed to seal the end of the root canal and prevent re-infection, and the gum tissue is sutured back in place.
Instructions following Root End Surgery (Apicoectomy)
- Bite firmly on the cotton that your dentist has placed and remove it after half an hour. While you are biting down on the cotton, kindly swallow the saliva and do not spit. Kindly do not spit. Please do not check by spitting whether there is bleeding or not.
- Avoid rinsing or spitting forcefully for 24 hours after the surgery to avoid dislodging the clot that forms.
- Bite firmly on the cotton that your dentist has placed and remove it after half an hour. While you are biting down on the cotton, kindly swallow the saliva and do not spit.
- Please take the medication as prescribed by your dentist.
- Do not drink from a straw for the first 24 hours.
- Please apply an ice pack on your face outside the surgery area for twenty minutes intermittently three to four times a day (During these twenty minutes place the ice for 10 seconds and then remove for 10 seconds and repeat the exercise for 20 minutes). This will help reduce the swelling.
- Eat cold and soft foods, such as soup, pudding, rice, khichdi, yogurt, or applesauce for 24 hours following the surgery. Gradually add solid foods to your diet as the surgical site heals.
- After 24 hours, rinse your mouth with a solution made of 1/2 teaspoon salt and 8 ounces of warm water.
- Do not smoke, which can inhibit healing.
- Continue to brush and floss your teeth, and brush your tongue, but be sure to avoid the surgical Doing so will help prevent infection.
- Please apply an ice pack on your face outside the extraction socket for twenty minutes intermittently three to four times a day (During this half an hour place the ice for 10 seconds and then remove for 10 seconds and repeat the exercise for 20 minutes). This will help reduce the swelling.
In case of any problems following extraction, kindly contact your dentist.
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Root End Surgery
Apicoectomy
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