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Apicoectomy - What is it and when is it used?
Apicoectomy is a dental procedure used to eliminate an infection in the root of a tooth and adjacent tissues. It is carried out in those cases in which endodontics has not been effective.
When to perform an apicoectomy
If a tooth has suffered a traumatism and has changed color, this indicates that it has lost vitality from its internal part, which is commonly known as a dead "nerve". This process causes the internal part of the tooth to become infected, extending to the end of the root, often creating a cyst or granuloma. This cyst can emerge through the gum or will be detected through an x-ray. This also often happens when deep decay has infected the dental pulp (nerve) or after trauma to a tooth.
The initial treatment for these cases is endodontics, also called root canal treatment. This process tries to eliminate necrotic debris to cure the infection. But if with this method the problem is not solved, the next step is the apicoectomy.
The treatment of apicoectomy
Apicoectomy is a small intervention performed through the gum to access and cut the tip of the affected tooth, surgically removing the cyst and sealing the root with different materials. To finish, the area is sutured and over time the healing is completed.
This is a simple process and usually gives very good results, unless the root in question presents a fissure or small fracture, in which case the tooth is almost always condemned to its extraction. As always, diagnosis is the key to success
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Dr. Simón Pardiñas López
Especialista en Periodoncia, Cirugía Oral e Implantología Oral y Maxilofacial