An apicectomy is a minor surgical procedure that removes the top portion of a tooth root. It eliminates a deep-seated infection and typically takes place under a local anaesthetic.
During the procedure, our endodontist will make an opening in the gum which exposes the end of the tooth root. They may need to use a drill to remove a small amount of bone tissue before removing the tip or “apex” of the root and any infected tissue or cysts.
The endodontist will clean and disinfect the treatment site before placing a filling at the base of the tooth to seal it and closing the incision with absorbable stitches.
Patients who have cysts or infected tissue in the root of a tooth will likely require an apicectomy. Alternatively, you may undergo an apicectomy following a failed root canal treatment which has led to an infection of the tooth root.
You may experience slight swelling and discomfort in the days following your apicectomy. You can manage any post-surgery tenderness with over-the-counter painkillers. You may also notice light bruising for up to 4-5 days after the surgery.
Our dentist may provide you with antibiotics after your apicectomy.
Healing within the bone and around the end of the tooth root should take around 6 months following a successful apicectomy.
It is quite common for the gum tissue around the affected tooth to recede slightly following an apicectomy. Continue to have regular check-ups with your dentist so they can monitor the site of your surgery for any unusual changes.
The affected area should heal by itself over time, provided you are maintaining a good standard of oral hygiene.
Avoid aggravating the site of your apicectomy to allow the area to heal properly.
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