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Apicectomy​

What is apicectomy?


Apectomy is a dental surgery that involves the removal of the infected apex of a dental root. The most frequent causes are chronic inflammations or fractures in the apical area of the dental root granuloma or cyst.

Apicectomy is invasive and is performed under local anesthesia, which means that the procedure is painless. Apectomy is a very effective method, but since it is a relatively simple surgical procedure, an apicalectomy requires the operator's qualification and the patient's collaboration.

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What is an apicoectomy and how is it treated?

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Apicectomy Surgery

Apicectomy is a rather simple surgical practice, the operation begins after having anesthetized the diseased tooth, the doctor practicing an incision directly into the gum, which then rises to reach the dental root. The root tip is removed together with the area affected by inflammation by means of special surgical instruments, after which the root canal is filled with various mixtures and materials provided for this purpose.

The last millimeters of the root are removed (the root is left "uncovered"). Apicectomy proceeds with meticulous disinfection of the treated area to reduce the bacterial load: in this way, it is possible to prevent further, possible infections

The next step is the obturation of the root apex: the end of the root - whose tip has been removed - is sealed with a biocompatible material to deny access to bacteria. This operation is called retrograde sealing or obturation

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The apicectomy ends with the perfect repositioning of the gingival flaps: the gingiva is stitched with appropriate stitches

Sutures that do not dissolve must be removed by the doctor 2-7 days after surgery.

The duration of the intervention varies, generally, from a minimum of half an hour to a maximum of 90 minutes, depending on the tooth to be treated, the severity of the lesion and the complexity of the root structure of the tooth.

Dentists Albania - Apicectomy - After the intervention

Apectomy may create discomfort or pain after surgery;

Pain and swelling (more pronounced the day after apectomy)

Obstruction of the gingiva in the semi-dental arch where the operation was performed

Masticatory difficulties

Gingival bleeding

Dental sensitivity

The apicectomy ends with the perfect repositioning of the gingival flaps: the gingiva is stitched with appropriate stitches

Sutures that do not dissolve must be removed by the doctor 2-7 days after surgery.

The duration of the intervention varies, generally, from a minimum of half an hour to a maximum of 90 minutes, depending on the tooth to be treated, the severity of the lesion and the complexity of the root structure of the tooth.

Dentists Albania - Apicectomy - After the intervention

The success of the intervention in the long term is essentially given by the specialist's ability to perfectly seal the apex of the root, in order to guarantee a certain protection from possible, possible bacterial attacks.

From here we understand how important it is to rely on experienced and highly qualified doctors.

However, a perfectly performed apectomy is, in general, a permanent solution.

The apicectomy ends with the perfect repositioning of the gingival flaps: the gingiva is stitched with appropriate stitches

Sutures that do not dissolve must be removed by the doctor 2-7 days after surgery.

The duration of the intervention varies, generally, from a minimum of half an hour to a maximum of 90 minutes, depending on the tooth to be treated, the severity of the lesion and the complexity of the root structure of the tooth.


Postoperative advice and recommendations


After the surgery it is advisable to apply cold compresses on the affected area to decrease swelling
In case of pain, take analgesics according to the recommendations of the dentist
Take antibiotics to shorten the postoperative recovery process, follow the directions dictated by your doctor. The antibiotic can only be taken with a prescription.
After 7 days the stitches are removed and during this period a maximum oral hygiene is required and the brushing around the wound with the delicate movements to remove the deposits
Rinse your mouth gently with disinfectant mouthwashes (eg, chlorhexidine 0.2%) only 12-24 hours after apicectomy, with sage tea, salt water or antiseptic. Continue the rinses for at least two weeks after the operation
In the case of the appearance of blood from the sutures you can apply a moist tea bag (black tea is recommended)
It is recommended to take liquid foods and avoid drinks, a soft diet consisting of soft foods such as mashed potatoes, warm soups, warm soups, smoothies, minced meat, homogenized, puddings, meatballs, boiled fish etc.
Do not vigorously brush the gingiva subjected to surgery to avoid injuring the area still painful and swollen. Prefer a soft bristle toothbrush; on the other hand, the use of the water jet is not recommended.
It is recommended to abstain from smoking immediately after the operation


After 6 months / one year from the apectomy, the patient should undergo an X-ray check to verify the success of the dental operation in the long term. If even after a year of surgery the conditions of the tooth that has undergone apicalectomy are optimally conservative, the chances that the granuloma may relapse are extremely poor. More generally, a perfectly successful apectomy provides an extraordinary and permanent coverage from apical infections in general.

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