What are the dangers of apical surgery?

Apicoectomy is a type of surgical procedure that dentists encounter frequently. Some dental patients have suffered from radiculitis for many years. The doctor said that if the fistula does not disappear, an apical root resection must be performed. The patients are very scared and worry about the sequelae of the operation. Apicoectomy is a surgical procedure that promotes healing of periapical disease through dental surgery. Are there any dangers of this surgery?

1. What are the hazards of apical surgery?

Apical resection is a method of root canal treatment performed after root canal treatment and preservation of the tooth. It will not cause any harm to the teeth, but it is an open trauma surgery and the wound will take some time to heal after the surgery.

2. Indications

This method is suitable for cases where root canal treatment cannot be performed using conventional methods. It is generally only used for anterior teeth and premolars. Molars can be treated as appropriate depending on the anatomical conditions.

1. Root canal treatment failed and the root canal filling material or a post crown cannot be removed;

2. The root canal is bent and narrow; the root canal instrument is broken in the root canal, causing blockage;

3. Root apex fracture has formed chronic apical periodontitis;

4. Chronic apical periodontitis combined with overfilled root canal filling materials that are difficult to remove.

3. Applicable people

1. Patients with chronic apical periodontitis whose lesions are large and cannot be eliminated by root canal treatment.

2. During root canal treatment, the instrument breaks off in the root canal and part of it protrudes beyond the apical foramen, requiring this operation to remove it.

3. Patients with granuloma or cyst at the root apex who need this surgery to be cured.

4. Due to trauma, the tip of the tooth root is broken but the tooth is not loose. After root canal treatment, this operation is used to remove the broken part of the root.

4. Contraindications

1. Acute apical periodontitis or acute osteomyelitis of the jaw.

2. Patients with alveolar bone atrophy, deep periodontal pockets, and significantly loose teeth.

3. Those with severe tooth defects that cannot be repaired.

4. It is estimated that the supporting tissue of the tooth after surgery is insufficient to stabilize the tooth.

5. The root canal penetrates beyond the apical 1/3.

6. Those who are in poor general health and are not suitable for this surgery.

5. Postoperative treatment

1. Antibiotics are routinely used after surgery.

2. Do not bite hard objects with the tooth within one week after the operation.

3. Rinse your mouth with salt water after meals to keep your oral hygiene clean.

4. The stitches will be removed one week after the operation and the wound will heal within two weeks.

5. Regular X-ray examinations should be performed 6 months and 1 year after surgery to compare bone healing.