Resection of the apex of the tooth root: indications and contraindications to apicoectomy, stages of operation, patient reviews
Resection, or simply speaking, cutting out the root of a tooth is a surgical operation, during which special tools are used.On assurances of stomatologists this procedure simple and special preparation does not demand.The easiest way is to resect on canines and incisors.If you need to cure molar or premolar, the operation will last longer and will be more difficult.
What is the resection of the tips of the root of the teeth
The main threat to the preservation of the tooth is the bacteria that penetrated to the root itself.To combat foci of infection, apicoectomy is used.To find out to whom this technique is shown, it is important to define what is the resection of the apex of the root of the tooth.
This procedure is an operation directed by to fight infection with , penetrated to the root of the root as a cyst, granuloma, periodontitis.Apicoecctomy is painful enough, therefore it is conducted under local anesthesia.
During this procedure, remove the layer of the gums in order to get close to the focus of the infection.After that
cut off the tip of the root , and then superimpose the seams that contribute to the proper fusion of the soft tissues.As in case of infectious diseases the channel is blocked by an inflammatory focus, further treatment is not possible.Therefore, resection of the root of the tooth in this case is the only effective technique of , which allows to avoid further development of the infection.
Indications for apykektomii
Cutting operation is called apicoektomy, because during it an apex or apex of the root of the tooth is removed.Indications for such surgery are the following pathologies.
Periodontal disease .It is associated with the formation on the tip of the tooth root, pus filled with pus, which is formed due to complications of pulpitis.Different forms of periodontitis are accompanied by aching or throbbing acute pain.
The formation of cysts .Many specialists for the removal of cysts are advised to carry out a resection of the tip of the tooth root.A small size cyst can be treated conservatively, resorting to the help of medications.Through the tip of the root they are inserted into the root canals or into the cyst itself.But such treatment is very long and not always effective.
Low-quality sealing .If during tooth treatment the tooth canal is not completely sealed, then the gum will inflame and cysts will start to form.This situation is possible both through the fault of the dentist and with curved dental canals in patients, to the end of which it is impossible to get.
Low-quality sealing should be removed and should be cleaned.However, this procedure is complicated, and can lead to tooth loss.Solve the problem will help apexectomy.
Crown or pins on a badly sealed tooth.Since the removal of the pins is problematic, and the removal of the crown is associated with additional costs, then with incomplete filling of the tooth canal it is easier to cut off the tip of the root.
Stages of resection of the tips of the root of the teeth
Depending on the position of the tooth, the apexectomy lasts from thirty minutes to an hour .It consists of several stages:
-
Anesthesia.Resection of the tip of the tooth root is completely painless, since it is performed under local anesthesia.Only after she steps away, there may be slight pain. - Creation of access to the operated site.At this stage, the incision on the gum is first of all done.Then, to get to the bone tissue, the gingival mucosa exfoliates.Using a drill and special burs, a small hole is cut in the bone tissue.Resection of the apex of the tooth root.
- .Detected through the hole of the cyst is cut off by the drill from the tooth along with the tip of its root.The truncated parts are removed with tweezers.
- Restoration of bone tissue.After the apicoectomy, a cavity is formed in the bone.To make this defect more quickly restored, the cavity is filled with a synthetic bone tissue.
- Stapling the wound.At the site of the incision, the mucous membrane of the gum is sutured with a special suture material.That out of the place of operation from the treasure was an outflow, between the sutures is inserted drainage.If there are no complications, after a few days the drainage is removed.
It should be noted that before the cyst is removed in the unsealed tooth, the root canals are sealed one or two days before the apexectomy.
Contraindications to apicocectomy
Any surgical intervention has contraindications, and resection of the apex of the tooth root is not an exception.The operation is contraindicated in the following cases:
-
if there are cracks in the area of the dental root; - for exacerbations of cardiovascular and infectious diseases;
- when there is edema on the face;
- in case if due to periodontosis teeth formed on the teeth;
- if the root part is strongly destroyed, as a consequence of which further prosthetics are impossible;
- with softening of periodontal tissues and loosening of teeth as a result of periodontitis.
Patient feedback
Most recently, I was resected by the four upper teeth.Two cysts showed up in the picture.Just want to say that I was very hurt.Apparently, because the cyst has grown into the maxillary sinus.In addition to local anesthesia, anesthesia had to be injected into the vein as well.Therefore, during the operation, I was in semi-oblivion.
The doctor was very surprised how I formed a huge cyst.But nothing bothered me or hurt me.The pain was completely different.After resection on the face formed edema, under gas final, on the neck a huge bruise, and the lip increased five times.
The edema started to fall only on the fourth day, that is today.I was given eight stitches.All days I drink Ketorol.The tooth as throbbed, and continues to pulsate.I do not even know if this is normal.After days off I descend or go on consultation to the doctor.
The operation lasted for two teeth for about an hour.A hard pouch with a tip of the sawn off root was pulled out by the doctor very professionally.Then he washed everything and cleaned it.The hole turned out to be large, so it was covered with bone shavings and 8 joints were placed on the gum.The doctor prescribed medicines that need to be drunk.The most fun began after the anesthesia had left.
All jaw began to hurt!Even Ketorol did not help.The next morning my whole face swelled so much that I could neither drink nor eat nor talk.The swelling started only after three days.Today is the eighth day, but the seams have not yet been removed.Nothing hurts, but there is only that I do not need to chew.The main thing is that my torment was left behind, and my teeth are still there.
A month ago I was operated with an operation that lasted only thirty minutes.After anesthesia, I felt nothing, only I felt how unpleasantly I was picking in the tooth.By the night there was a pain and a small edema.Drunk Naise, after which she slept perfectly.Edema was about a week, but did not increase.The doctor prescribed antihistamines, antibiotics and rinse with chlorhexidine.I expected the worst, but everything turned out to be bearable.
At me all has begun with that on a roentgen have found out a granuloma.That is, the root of the tooth formed a pus accumulation, and, more simply, a cyst.This operation, I tell you, is terrible.If it was not the front tooth, then it was easier to remove it.First I was prepared for surgery.To do this, cleaned the channels, then they put the medicine in and sealed them.
Everything was fine, but the tooth suddenly began to ache, and the gum swelled.The doctor said that it is necessary to cut.As a result, a piece of the root was cut off and everything was sewn up.Rehabilitation was a long one.For a while I walked with a swollen face.The tooth stopped moving and while I'm happy.But once again I do not want to experience such an operation.All the time I was afraid that I would bring some infection.I do not want anyone to experience this.
Once I went to the dentist to just put a seal.But after the examination the doctor sent me for an X-ray.The picture showed that you need to resect or remove the tooth.I chose surgery because I did not want to lose my front tooth.
At first, I was filled with horror.But a friend who studied at the dentist, calmed me down.She explained that during the resection, a part of the root is simply removed along with the focus of inflammation.And there is nothing fatal about this.
Before the operation, I was given a few injections in the gum.And it turned out to be the most terrible.Then I felt nothing painful.Only she could feel her fingers tugging at the gums.In twenty minutes it was over, and they let me go home.On my face in the evening there was a bruise, over which the friends coming to see me joked.
Several times after the operation, I went to the doctor to check and remove the stitches.All procedures were painless.As a result, the tooth has been rescued, and the scabies are terrible in this resection and, however, nothing is there.In addition, such an operation is even cheaper than putting a seal.
