What is a root end resection? A quick guide to apicoectomy
A root end resection, also known as an apicoectomy, is a surgical procedure performed by an endodontist to remove the tip of a tooth's root. This procedure is designed to treat infection or inflammation that persists after a standard root canal therapy. Unlike typical root canal treatments, a root end resection involves accessing the jawbone surgically to reach and treat the root end. If you've heard the term "root end resection" or "apicoectomy" and are curious about what those mean, this guide will help answer your questions.
What are the steps involved in apicoectomy?
Understanding the steps involved in a root end resection can help ease any concerns you might have about the procedure:
Pre-operative assessment and consultation: Your endodontist will first conduct a thorough evaluation to confirm the need for an apicoectomy. This involves examining your medical history and performing imaging studies to accurately diagnose the issue. Your endodontist may be able to perform the procedure then or may set up a date to perform the procedure later on, usually depending on the severity of the issue.
Administration of local anesthesia: To ensure your comfort during the procedure, a local anesthetic will be administered to numb the area around the affected tooth.
Creating an incision: A small incision is made in the gum tissue near the problematic tooth. This allows the endodontist to access the underlying bone and the tip of the tooth's root.
Removal of infected tissue and root tip: The endodontist will then remove the infected or inflamed tissue along with the very end of the root tip. This step is crucial for eliminating the source of infection.
Cleaning and sealing the root tip: After the infected tissue and root tip are removed, the area is thoroughly cleaned. The endodontist will then seal the root end to prevent any future infections.
Suturing the gum: The gum tissue is sutured back in place to promote healing. Sutures may either dissolve on their own or require removal at a follow-up appointment.
Post-operative care: After the procedure, you'll receive detailed instructions on how to care for the surgical site. Following these guidelines is essential for optimal recovery.
What are the benefits of apicoectomy?
Choosing to undergo a root end resection comes with several significant benefits:
Tooth preservation: One of the most compelling advantages of an apicoectomy is that it offers a second chance to save a tooth that might otherwise require extraction, similar to how we approach root canal therapy.
Effective treatment: This procedure directly addresses persistent infections or inflammations that have not responded to standard root canal therapies. This mean, ideally, chronic tooth pain will come to an end. This is because your endodontist can remove extraradicular biofilm that might be building up where normal root canal therapy can't reach.
Conservative approach: By preserving your natural tooth structure, an apicoectomy provides a more conservative alternative compared to tooth extraction.
Pain relief: It can effectively alleviate the pain and discomfort associated with an infected root canal system, as mentioned above.
Improved oral health: Removing the source of infection helps prevent its spread, thereby promoting better overall oral health.
High success rate: When performed on appropriately selected cases, an apicoectomy boasts a high success rate, restoring both the function and comfort of the affected tooth. In one study at the University of Zurich, 91% of teeth assessed for an apicoectomy exhibited successful clinical and radiographic healing.
If you're experiencing tooth pain, WFW Endodontics can help
A root end resection, or apicoectomy, is a valuable procedure for treating persistent tooth infections and inflammation. By understanding the steps involved and the associated benefits, you can approach this treatment option with confidence, and we're always willing to help patients understand and explore their options when it comes to their oral health. If you believe you might be a candidate for an apicoectomy, contact us at WFW Endodontics to explore this effective and conservative treatment for preserving your natural tooth structure.