Root apex resection is a procedure intended to remove the unhealthy tip of the tooth root with the surrounding abnormal tissue, when conventional endodontic treatment is powerless, not sufficient to save the infected tooth or no longer possible. However, most often patients with inflammation of the root tip feel no pain, and come to specialists when inflammation becomes acute.
The root apex resection involves the opening of a chronic infection source, which is cleaned, 1/3 of the root tip is cut off with the inflamed tissue is removed with the help of a drill. The root filling is then cemented. Finally, the sharp edges are adjusted and the gum is placed back before suturing the wound.
In some cases, the bone defect which persists after the curettage of the pathological process is very serious and the body’s ability to recover is exceeded, hence in order to stimulate the osteogenesis process, a substitute of synthetic bone or bio-bone to the defect is recommended.
Root apex resection is performed under local anesthesia, so the patient does not feel any pain. The stitches of the plague are done with non-absorbent sutures which will be removed after 6-7 days. After the resection, the teeth will be protected for a period by avoiding tough foods and increased mastication effort. Right-after surgery, the oral and maxillofacial surgeon will prescribe antibiotics and painkillers to ensure the proper healing process.
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