Resection of the Apex of the Root

Resection of the apex of the root is carried out in order to preserve the teeth. This procedure is carried out in cases where an inflammation focus (cyst) forms at the top of the tooth root, and the tooth was previously treated using the phosphate-cement or resorcinol-formalin method. In such situations, it is very difficult for the doctor to get to the inflammation focus after passing through the previously sealed canals, and the only way out is to cut off the affected area of ​​the root. Often this operation is carried out on the front teeth of the upper jaw so that the doctor has the necessary access to the root canal and can carry out a high-quality filling of the tooth root.

Resection of the apex of the root is also carried out in the following cases

• in case of a significant curvature of the channels;
• in case of exacerbation of periodontitis;
• as a result of unsuccessful endodontic therapy to eliminate infection in the upper region of the tooth root;
• in case the filling material was moved beyond the top of the root;
• if there is a foreign body in the root of the tooth (for example, it may be a piece of an endodontic instrument);
• perforation of the root wall in the apex;
• in case of fracture of the tooth root (in its upper third).

How is the resection of the tooth root carried out?

First, the doctor makes an incision on the gum. Through this incision, a small section of the root is then cut, which has a focus of inflammation (for example, a cyst or granuloma). The doctor then gains access to the alveolar canal, which must be sealed to avoid re-infection. Special preparations are introduced into the wound that speed up the regeneration processes so that the bone tissue recovers faster in the area of ​​the removed cyst. The incision on the gum is sutured. If necessary, after the gum has fully healed, the tooth can be covered with a tooth crown.

After the procedure of resection of the apex of the root of the tooth for 3 months, the patient should not allow significant loads on this tooth when eating. Also during the year, every 3 months, an X-ray should be taken to observe the dynamics of recovery and to detect the likelihood of re-inflammation in time.

Perhaps the only drawback of this procedure is that the anatomical integrity of the apex of the tooth is disrupted, as a result of which the function of the tooth is reduced. But in order to make the treatment effective, you need to strictly adhere to the recommendations of the doctor and carry out preventive diagnostics in time. Competently made restoration plan will allow you to maintain a healthy tooth for a long time, and not to feel the daily discomfort. The use of modern methods of local anesthesia provides the most comfortable conditions for the patient during this procedure.

Experts of Avanto clinics recommend you to visit the dentist on time for regular check-ups in order to timely detect dental diseases and not to allow them to shift to advanced stages.