In a case of a failed apicoectomy, the tooth will have to be extracted. Avoid touching the wound area following surgery. This high rate of success is what makes it a great option. All inflammations and infections are removed during a root canal, but this is not always effective. To improve the apicoectomy success rate, the procedure is usually performed by the endodontist or oral surgeon with the help of a microscope, Possible apicoectomy complications are similar to those of the initial root canal treatment. Indications for the Use of the Procedure There are two main indications for apicoectomy in selected teeth. When inflammation or infection persists in the bony area around the end of your tooth after a root canal procedure, your endodontist may have to perform an apicoectomy. Some useful instructions to relieve discomfort, help healing and minimize apicoectomy recovery time are: In most cases, the apicoectomy recovery time will not exceed two weeks. In case of a failed apicoectomy, the tooth will have to be extracted. An apicoectomy procedure is done in only select cases and involves the roots of your teeth. The area is numbed with a strong dose of a local anesthetic. Apicoectomy success rate Apicoectomies are considered routine outpatient dental procedures. Apicoectomy has a high success rate, in the region of 80-95%, so it tends to be a one-off, straightforward procedure with positive outcomes for the patient. Any sign of remaining infection after this period indicates a failed apicoectomy. Root resection refers to the removal of one root in a multi-rooted tooth, Apicoectomy success rate is high if performed by a skilled endodontist. Dr. Kern is one of a few oral surgeons who do this surgery. The majority of failed non surgical root canals are caused by problems near the tip (apex) of the root. The majority of problems in previously root canaled teeth are caused by problems near the tip of the root, or the apex. This extensive procedure is called an apicoectomy. Most of your front teeth only have one root, but your molars and premolars have at least two roots holding them in place. Apicoectomy is the most common type of root canal surgery. Though it is certainly a feared and maligned dental procedure, root canal therapy is most often a very successful, with over a 95% success rate. An endodontist performed a root canal on the #10 tooth Friday 10/16/09 and now 5 days later the tooth hurts more than it did before the root canal. [7] There are many factors which will affect the likelihood of success of apicoectomy. ; Emax veneers are available at S-Plant. This procedure will be about 70% effective in removing the infected tissue. However, occasionally, root canal treatment fails or is not sufficient as a stand-alone treatment. The duration of the procedure depends on the type of tooth involved and may be from 30 to 90 minutes. An apicoectomy is required when you get an infection after a root canal procedure and that infection lingers without subsiding. The edge of the root tip up to the problem area is removed, along with any infected surrounding tissues (connective tissue or/and jaw bone). To minimize swelling, place ice packs to the side of face where surgery was performed for 12 hrs. The cost involved with apicoectomy is significant and many patients may not afford it if they are not covered by their dental insurance. Apicoectomy, also known as root end surgery, is an endodontic surgery procedure involving the surgical removal (ectomy) of the tip of a tooth root (apex), and the sealing of the root canal. A permanent cap (crown) is often used to seal the access hole, replace lost tooth structure and to protect the tooth from biting stresses and further damage. There is an approximate 70% success rate with an apicoectomy surgery. This procedure is only an option if you have already undergone a root canal. 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