Apicoectomy in Iran

When root canals fail, the only option you are left with is apicoectomy, which is expensive. We will help you find the right endodontist (not just a dentist) to get a successful apicoectomy at affordable rates.

An apicoectomy is a dental procedure that is required when a normal root canal treatment is unable to get rid of infected tissues in the root canal. When this happens, it can impede the healing process of the teeth or cause reinfection. During an Apicoectomy, the end of a root canal is sealed with a filing after the root tip (apex) and infected tissues are removed. Apicoectomy is also called an Endodontic Microsurgery since it is generally done using an operating microscope.

Often a root canal becomes infected again after a root canal treatment (RCT) as a result of some problem near the apex of the root. Dentists or endodontists usually recommend another RCT before opting for an apicoectomy. If your dentist can clear up the infection with a repeat root canal procedure, you don’t have to go for an apicoectomy.Thanks to new technology, improperly treated root canals can be easily identified today.

Note that an apicoectomy is not the first option to get rid of a root canal infection. At least one root canal treatment must have failed before your dentist should decide on an apicoectomy. People often confuse apicoectomy with root resection but it’s not same. In an apicoectomy, only the root tip or apex is removed but in a resection, an entire root is removed, not just the tip.

Who is eligible for the treatment?

This procedure involves an incision on your gum of the affected tooth while you are on anesthesia. You will be awake during this procedure but the anesthesia will keep you from feeling anything. The tip of the tooth or the apex of the tooth is sealed with a medicinal cement to stop the infection to spread or grow from the affected tooth. This procedure hardly takes about 30 to 50 minutes and the procedure time also depends on the number of roots that needs to be fixed. This procedure of apicoectomy is known to be fastest on the front teeth and the teeth which lie at the back or lower of the jaw, take a longer time to complete. The medicinal cements are non toxic and non carcinogenic which have a stable moisture content suited for your tooth and they are easy to handle. The cements need to provide a good seal otherwise there might be a possibility of leakage which will lead to further infections. However, you might face certain discomfort, pain and swelling after the surgery and there are medications that help you to heal from the incision.

Who is not eligible for the treatment?

You are eligible for the treatment of apicoectomy only if you have had a root end surgery in the past which could not cure the infections associated with it.

Are there any side effects?

If you did not have any root end surgery in the past then you are not eligible for this treatment.

What are the post-treatment guidelines?

The side effects of this procedure are common to that of any tooth surgery. You might face some swelling and pain in your gums and for a temporary period you need to be on a liquid diet.

How long does it take to recover?

A soft diet or liquid diet is recommended for 2 days after the procedure. You need to apply some ice on the affected tooth/ teeth for about 12 hours after the procedure. There is a possibility of swelling, therefore you should not rinse or brush your teeth too vigorously that can cause bleeding. It is highly recommended that you avoid smoking for a couple of weeks and the pain and irritation associated with the teeth are usually gone within 2 weeks.

What is the price of the treatment in Iran?

The pain and the irritation associated with your affected tooth/ teeth goes away within 2 weeks and it is fairly easy to recover from this surgery. However, there is a possibility that the affected tooth might cause problems in that case you should seek medical help as soon as possible.

What are the alternatives to the treatment?

The results of the treatment are known to be permanent and the individuals who have undergone this procedure find it very easy to recover from the surgery and with a little care of your teeth, there are no further signs of the infections associated with it.

1How painful is a Apicoectomy?

The Apicoectomy Procedure Root canal surgery is usually performed under local anesthesia such as a numbing shot, so you won't feel any pain. ... Most apicoectomies take about 30 to 90 minutes to complete. Following the procedure, you may experience some swelling and soreness in the area that was treated.

2How long does it take to recover from Apicoectomy?

Your stitches will be removed 2 to 7 days after the procedure, and all soreness and swelling are usually gone by 14 days after the procedure. Even though an apicoectomy is considered surgery, many people say that recovering from an apicoectomy is easier than recovering from the original root-canal treatment.

3How is an Apicoectomy performed?

Although there are many surgical procedures that can be performed to save a tooth, the most common is called apicoectomy or root-end resection. When inflammation or infection persists in the bony area around the end of your tooth after a root canal procedure, your endodontist may have to perform an apicoectomy.

4What can I eat after an Apicoectomy?

Cool soft food and liquids should be eaten on the day of surgery. You may return to a normal diet, as tolerated, beginning the day after surgery but avoid crunchy food (popcorn, pretzels, and potato chips) for a week after surgery, as these could become lodged and irritate the surgical area.

5How long does swelling last after Apicoectomy?

Swelling usually begins within 24 hours of surgery and can peak in 48 hours. It takes time for the pain and swelling to dissipate, but if it gets worse or develops a hardness to it, then you may require an antibiotic. Please call our office if you experience this or it gets worse after 72 hours.

6What is the success rate of Apicoectomy?

Prognosis of Endodontically Treated Teeth A systematic review and meta-analysis of primary endodontic treatment found cumulative success rates of 68% to 85% for the decades between 1950 and 2000, ranging from 69.6% to 81.4% for teeth with and 82.1% to 90.1% without apical radiolucency (Ng et al., 2007).

7What is the best natural antibiotic for tooth infection?

The following home remedies can be applied along with prescribed treatments: Oregano essential oil. ... Cold compress. ... Fenugreek tea. ... Clove essential oil. ... Thyme essential oil. ... Hydrogen peroxide. ... Oil pulling. ... Garlic.

8Can an infected root canal be treated with antibiotics?

However, some dentists still routinely prescribe oral antibiotics to patients with acute dental conditions who have no signs of spreading infection, or without dental treatment to remove the infected material. Use of antibiotics contributes to the development of antibiotic-resistant bacteria.

9Why is Apicoectomy done?

An apicoectomy, a type of endodontic surgery, is typically performed when a traditional root canal fails to remove all the dead nerves and infected tissues. This can lead to re-infection of the tooth and often signals a problem near the apex — where a tooth's roots come to a point.

10Will abscess go away after root canal?

Inflamed or infected tissue is removed. An apicoectomy may be needed when an infection develops or won't go away after root canal treatment or retreatment. Root canals are very complex, with many small branches off the main canal.

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Apicoectomy in Iran