Materials[ edit ] The primary aim of any endodontic treatment is to disinfect the root canal system in order to reduce the bacterial load as much as possible, and to seal the system to prevent ingress or egress of bacteria or their byproducts. Failure is often due to leakage,  and therefore any materials used to seal the end of the root must provide a good seal. It is also important that they are biocompatible; that is, that they are non-carcinogenic and non-toxic to the surrounding tissues or the body as a whole. They must also be stable in moisture and at body temperature. It is beneficial if they are easy to handle, as they are placed in small amounts under technically demanding conditions, and if they are easily identified on radiographs i. This list is by no means exhaustive.
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But in some cases, additional dental treatment may be needed, such as an apicoectomy, or root end surgery. What Is an Apicoectomy? Typical reasons for an apicoectomy may include re-infection of the root canal site with signs like pain in the tooth, tenderness or swollen gums that occurs after a root canal.
What Happens During an Apicoectomy Teeth are held in place by tooth roots. The tips of each root, called the apex, serve as an entrance for nerves and blood vessels into the tooth.
During an apicoectomy, the apex is removed, along with the infected tissue, and then sealed with a tooth filling. Though general dentists can do an apicoectomy, most are performed by endodontists , or root canal experts. Apicoectomy Recovery Tips As with any dental surgery , proper post-operative dental care is essential to prevent infections or complications. The good news is that many people say healing from an apicoectomy is actually easier than recovering from a root canal! Before the procedure begins, your dentist will recommend self-care tips to ease your recovery.
Avoid any strenuous activities and make sure to get enough rest. Take over-the-counter pain medication to manage any discomfort. Allow your tooth and the gums around it to rest while it heals. Avoid eating crunchy or hard foods, as well as brushing the affected area and rinsing too vigorously.
Most importantly, do as your dentist says and take the medication prescribed to you. The Non-Candidates The apicoectomy procedure is not for everybody. This procedure typically uses an anesthetic that contains twice the epinephrine of regular anesthetics. Epinephrine is an adrenaline-like drug used in other dental procedures to constrict the blood vessels.
This reduces bleeding in the site and allows the endodontist to see the root better. An extra dosage of this drug is not recommended for people with high blood pressure.
Your dentist will know best if this procedure is right for you. Speak with your dentist about your post-root canal options. Dentists Near Me.
Cirugía del Conducto Radicular (Apicectomía)
¿Sabes qué es una apicectomía y cuándo está indicada?
L’apicectomia dentale: cos’è e quando si interviene?