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All informations about stomatology in one place

Apicotomy-resection of the root

stomatoloska ordinacija

 

1. What is an apicotomy?

 

Apicotomy is a surgical intervention performed under local anesthesia, during which the top of the root is cut off, also removing at the same tame the pathological process (purulent formation) that is formed on it. Another name for this intervention is resection of the tip of the tooth root. In this process, formed periapical processes or cysts are usually eliminated. This oral surgery prolongs the life of the teeth and prevents their premature loss. 

 

2. When is an apicotomy performed?


If conservative treatment, ie canal treatment, does not give results - then surgical intervention (apicotomy) is performed. Thanks to the apicotomy, it is possible for the tooth to still remain in the jaw. This is of great importance for planning some future prosthetic work.

 

This intervention is performed exclusively on teeth that are "dead", ie on teeth from which the nerve has been removed and appropriate endodontic therapy has been performed.

 

3. What kind of procedure is the apicotomy?

 

After giving a local anesthesia surgically, an access incision is formed at the height of the projection of the affected tooth root, ie. the gums are "risen" in the region of the affected tooth, after which special borers access the area around the root tip and it is removed, as well as the chronic periapical process with the affected bone around it. The root canal must be definitely pre-filled. If it is not possible to perform conservative therapy before resection of the root tip,apicotomy can be performed with retrograde filling, with the use of modern materials that serve only for those purposes. After that, the gums are put back in place and sewn up.

 

stomatoloska operacija

 

4. What does the preparation for resection of the tip of the tooth root looks like?

 

First of all, it is necessary to do an adequate X-ray. It is important to mention that the patients of our dentist office have the opportunity to have their teeth recorded in the our premises, which saves their time and shortens the duration of diagnostics and preparation for upcoming interventions.


By analyzing the image, the dentist will then determine the size of the process and its distance from the surrounding anatomical structures. 
Based on all the information obtained, and on the patient's examination, the oral surgery specialist assesses the justification of the potential oral surgery. It is being considered whether there is any other possibility to cure the tooth conservatively. If it is concluded that, in that case, the apicotomy is the most adequate solution, we agree with the patient about further work.   

 

5. Is apicotomy a painless intervention?


Apicotomy is a painless procedure performed under local anesthesia for up to 30 minutes. When it comes to patients who are afraid of dental and surgical interventions, analgo-sedation  can be used. Dental Plaza also provides this opportunity to its patients. 


6. Apicotomy - recovery and postoperative process?

 

 

When it comes to apicotomy, the recovery period is very short. It is advisable to eat chilled, softer food and reduce physical activity on that day. 

 

7. Who performs the apicotomy? 


Apicotomy is performed exclusively by specialists in oral surgery. Dental Plaza dental practice leaves nothing to chance. 

 

8. Are all teeth indicated for apicotomy?

 

Not all teeth with chronic periapical processes are indicated for apicotomy. Apicotomy is a short-term procedure that gives good results, but we should always try to rehabilitate chronic processes in an endodontic (conservative) way first, because today's progress in endodontics allows us to do that. In cases of persistent secretions through fistulous openings and their non-withdrawal, apicotomy is performed. Apicotomy should be performed when the teeth do not respond to conservative therapy and when an acute infection occurs each time after the tooth is closed.

 

stomatoloski radnici i pacijent u ordinaciji

 

The diagnosis of chronic periapical processes is made on the basis of clinical examination and on X-ray image, based on which we assess the shape, size, location and structure of chronic periapical processes. Tooth root resection involves good conservative preparation of the tooth to be apicotomized, as well as analysis of the patient's general health and local anatomical structures that must not be injured. 

 

9. Can complications occur after apicotomy?


There are no complications after the apicotomy intervention. Dental Plaza dental practice gives you all the guarantees of safety.   

 

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Apicotomy-resection of the root

stomatoloska ordinacija

 

1. What is an apicotomy?

 

Apicotomy is a surgical intervention performed under local anesthesia, during which the top of the root is cut off, also removing at the same tame the pathological process (purulent formation) that is formed on it. Another name for this intervention is resection of the tip of the tooth root. In this process, formed periapical processes or cysts are usually eliminated. This oral surgery prolongs the life of the teeth and prevents their premature loss. 

 

2. When is an apicotomy performed?


If conservative treatment, ie canal treatment, does not give results - then surgical intervention (apicotomy) is performed. Thanks to the apicotomy, it is possible for the tooth to still remain in the jaw. This is of great importance for planning some future prosthetic work.

 

This intervention is performed exclusively on teeth that are "dead", ie on teeth from which the nerve has been removed and appropriate endodontic therapy has been performed.

 

3. What kind of procedure is the apicotomy?

 

After giving a local anesthesia surgically, an access incision is formed at the height of the projection of the affected tooth root, ie. the gums are "risen" in the region of the affected tooth, after which special borers access the area around the root tip and it is removed, as well as the chronic periapical process with the affected bone around it. The root canal must be definitely pre-filled. If it is not possible to perform conservative therapy before resection of the root tip,apicotomy can be performed with retrograde filling, with the use of modern materials that serve only for those purposes. After that, the gums are put back in place and sewn up.

 

stomatoloska operacija

 

4. What does the preparation for resection of the tip of the tooth root looks like?

 

First of all, it is necessary to do an adequate X-ray. It is important to mention that the patients of our dentist office have the opportunity to have their teeth recorded in the our premises, which saves their time and shortens the duration of diagnostics and preparation for upcoming interventions.


By analyzing the image, the dentist will then determine the size of the process and its distance from the surrounding anatomical structures. 
Based on all the information obtained, and on the patient's examination, the oral surgery specialist assesses the justification of the potential oral surgery. It is being considered whether there is any other possibility to cure the tooth conservatively. If it is concluded that, in that case, the apicotomy is the most adequate solution, we agree with the patient about further work.   

 

5. Is apicotomy a painless intervention?


Apicotomy is a painless procedure performed under local anesthesia for up to 30 minutes. When it comes to patients who are afraid of dental and surgical interventions, analgo-sedation  can be used. Dental Plaza also provides this opportunity to its patients. 


6. Apicotomy - recovery and postoperative process?

 

 

When it comes to apicotomy, the recovery period is very short. It is advisable to eat chilled, softer food and reduce physical activity on that day. 

 

7. Who performs the apicotomy? 


Apicotomy is performed exclusively by specialists in oral surgery. Dental Plaza dental practice leaves nothing to chance. 

 

8. Are all teeth indicated for apicotomy?

 

Not all teeth with chronic periapical processes are indicated for apicotomy. Apicotomy is a short-term procedure that gives good results, but we should always try to rehabilitate chronic processes in an endodontic (conservative) way first, because today's progress in endodontics allows us to do that. In cases of persistent secretions through fistulous openings and their non-withdrawal, apicotomy is performed. Apicotomy should be performed when the teeth do not respond to conservative therapy and when an acute infection occurs each time after the tooth is closed.

 

stomatoloski radnici i pacijent u ordinaciji

 

The diagnosis of chronic periapical processes is made on the basis of clinical examination and on X-ray image, based on which we assess the shape, size, location and structure of chronic periapical processes. Tooth root resection involves good conservative preparation of the tooth to be apicotomized, as well as analysis of the patient's general health and local anatomical structures that must not be injured. 

 

9. Can complications occur after apicotomy?


There are no complications after the apicotomy intervention. Dental Plaza dental practice gives you all the guarantees of safety.   

 

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