Apicoectomy Surgery Seattle , WA

Common indications for apicoectomy surgery include persistent infection or inflammation at the root tip after root canal therapy, cysts or abnormal growths at the root end, and calcification within the root canal that prevents effective cleaning. The procedure involves:

• Making an incision in the gum tissue to expose the root tip and surrounding bone.
• Removing the infected tissue and root tip.
• Sealing the end of the root canal with a biocompatible material. This procedure promotes healing and prevents further infection.

The success rate of apicoectomy treatment is generally high, with studies indicating success rates between 75% and 90%. Factors influencing success include:

• The skill and experience of the endodontist.
• The extent of infection or damage to the root tip.
• The presence of adequate bone support around the tooth.
• Adherence to post-operative care instructions. Proper diagnosis and use of advanced surgical techniques are crucial in ensuring a successful outcome.

A root canal treatment involves:

• Removing the infected or damaged pulp from within the tooth.
• Cleaning and disinfecting the root canal.
• Sealing it to prevent further infection. An apicoectomy, on the other hand, is a surgical procedure performed when a root canal treatment fails to eliminate infection at the root tip. The endodontist removes the root tip and any infected tissue during an apicoectomy. Root canal treatment is recommended as the first line of defense against pulp infection, while apicoectomy is a good option when the infection persists despite initial treatment.

During an apicoectomy, local anesthesia is typically used to numb the area and ensure the patient feels no pain during the procedure. In some cases, sedation or general anesthesia may be considered for patients with high anxiety or complex surgeries. Potential procedure risks include infection, bleeding, swelling, damage to surrounding structures, and, rarely, nerve damage. However, these risks are minimized by the dental surgeon's expertise and adherence to proper surgical protocols.

Apicoectomy can be performed on most teeth, but there are limitations. Teeth with insufficient bone support, fractures, or severe decay may not be suitable candidates. Additionally, the tooth's location can present challenges; for example, apicoectomies on molars can be more complex due to their position and root structure. A thorough examination and consultation with an endodontist can determine whether apicoectomy is viable for a particular tooth.

An apicoectomy should be considered when a root canal treatment fails to resolve infection or inflammation at the root tip, and retreatment of the root canal is not feasible or has already been unsuccessful. It is also recommended in cases where the tooth has persistent symptoms, such as pain or swelling, or when there is evidence of cysts or abnormal tissue growth at the root end.

Recovery time after an apicoectomy is generally short, with most patients returning to normal activities within a few days. Complete healing of the bone and tissues can take several months. Post-operative care includes:

• Maintaining good oral hygiene.
• Avoiding strenuous activities for a few days.
• Following the dentist's specific instructions, such as taking prescribed medications and attending follow-up appointments.
• It is also important to avoid chewing on the affected side of the mouth until it has fully healed.