Do you have an infected or abscessed tooth that has already been root filled? We may recommend an apicectomy
An apicectomy is a form of surgical root canal treatment where the root is shortened to remove infected tissue and sealed from the end of the root within the bone. This may be advised if a tooth which has already had the root filled becomes reinfected or abscessed.
The apicectomy procedure
An incision is made over the root to gain access to the infected portion of the root. Diseased tissue is removed and the end of the root is sectioned from the remainder of the tooth and the end of the open root canal is then sealed before the operation site is closed. It will take a few months for the site of infection to heal and for new bone to regenerate in the previously diseased site.
An incision in the gum tissue will be made exposing the bone and surrounding inflamed tissue, the damaged tissue is removed along with the end of the root tip. When the damaged tissue is removed, a root filling is placed to prevent infection and the gum tissue is sutured.
It will take a few months for the bone to heal naturally around the root tip, restoring health.
Teeth that have been affected by extensive decay frequently suffer severe inflammation within their pulp, which then dies. This dead tissue may then become infected leading to the formation of an abscess. In such a case, the root canal and pulp chamber must be cleaned thoroughly and disinfected and finally sealed with a root filling. This treatment known as a root canal therapy may eliminate the infection preventing loss of the tooth”.
Late failure of root filled teeth can occur and in such cases either the old root filling must be removed and replaced after disinfection or it may be appropriate to perform an apicoectomy to remove only the infected tip of the root while retaining the majority of the root and previous root filling.
What’s involved with the surgery?
The surgery can be performed while you are awake, sedated or asleep. The access incision is minimal and consequently healing after the surgery is quick and generally free of complications. It is usual to be given antibiotics, anti-inflammatory drugs, and painkillers to make the post-operative healing period as comfortable as possible.
To find out more, or to book a consultation, please don’t hesitate to contact us today.