Apicoectomy in Mallorca
Apicoectomy is a surgical procedure in dentistry used to treat problems in the root of a tooth, especially when other treatments, such as root canal treatment, have not been effective.
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What is an Apicoectomy?
An apicoectomy is a surgical procedure that involves the removal of the apex of a tooth root, along with surrounding tissues that are infected or inflamed. This procedure is performed to treat persistent infections that have not resolved with previous root canals. It is, in essence, a surgery that aims to eliminate the source of the infection at the tip of the tooth root, thus allowing the tooth to be preserved and preventing its extraction.
Apicoectomy is an option when endodontics has failed to resolve the problem. Removal of the apex and treatment of the affected tissues are crucial to ensure the patient’s oral health and prevent the need for tooth extraction. This surgical intervention is often considered the last option before deciding to extract the affected tooth.
When is an apicoectomy recommended?
Apicoectomy is recommended in cases where an infection persists in the root of the tooth that has not resolved with previous root canal treatment. It is also necessary when there is chronic inflammation in the bone tissue around the apex of the tooth root, or in the presence of cysts, granulomas, or fractures in the root that cannot be repaired by other dental treatments. By removing the source of infection, apicoectomy helps to improve the patient’s oral health and prevent further complications.
Why is an apicoectomy performed?
Apicoectomy is performed to remove chronic infections affecting the root of the tooth, especially when root canal treatments have not been effective. This procedure preserves the natural tooth, avoiding the need to extract it and replace it with an implant or bridge. By preserving the tooth, the functionality of the dentition is improved and the integrity of the patient’s bone structure is maintained.
Phases of apicoectomy treatment
Apicoectomy treatment is performed in several crucial stages that ensure removal of the infection and preservation of the affected tooth. Each phase is designed to address the root cause of the problem, minimise the risk of complications and promote a successful recovery. Below, we detail each of these phases to give you a better understanding of the process.
The dentist performs a complete evaluation, including x-rays, to determine the extent of the infection and plan the procedure.
An incision is made in the gum to expose the root of the affected tooth. The root apex is then removed along with the infected tissues. The root canal is sealed with a biocompatible material such as MTA to prevent future infection. Finally, the gum is sutured to allow for proper healing.
After surgery, it is crucial to follow the postoperative care prescribed by your dentist to ensure optimal recovery. This includes a soft diet, avoiding chewing on the operated side, and maintaining good oral hygiene. Regular check-ups with the dentist will help monitor healing and the success of the procedure.
Frequently asked questions about Apicoectomy
After an apicoectomy, it is essential to maintain a soft diet and avoid very hot or cold foods. Good oral hygiene should also be followed and antibacterial rinses should be used according to the dentist’s instructions. Attending all follow-up appointments is essential to monitor healing and prevent complications.
The success rate of an apicoectomy is usually high, ranging from 70% to 90%, depending on factors such as the extent of infection, the skill of the dentist, and compliance with postoperative care. This high rate reflects the effectiveness of the procedure in resolving persistent infections and preserving the tooth.
The most common complications include swelling, pain, and minor bleeding. In some cases, an infection may develop and require immediate medical attention. There is also a risk of damage to nearby structures, such as nerves, which may cause numbness or tenderness in the treated area. It is crucial to follow your dentist’s instructions to minimise these risks.
Before opting for an apicoectomy, the dentist may consider a repeat root canal treatment or, in severe cases, a tooth extraction followed by the placement of an implant or bridge. The choice between an apicoectomy and other alternatives will depend on the patient’s clinical assessment and treatment goals.
Specialists in apicoectomy in Palma de Mallorca
Dr. Emilio Martínez-Almoyna Rifá
Periodontics and postgraduate degree in Implantology.
Bachelor's degree in Medicine and Dentistry and Master's degree in Aesthetic Medicine. University expert in Periodontology and postgraduate degree in Implantology.
Dra. Maria Morro
Specialist in dental prosthetics.
Bachelor's degree in Dentistry and Master's degree in Paediatric Dentistry and Dentofacial Orthopaedics. Specialist in Cosmetic Dentistry and Dental Prosthetics.