Periapical Surgery
What is Periapical Surgery?
Periapical surgery, also known as root-end surgery, is a specialised dental procedure performed to treat infections or damage at the tip of a tooth’s root. It involves the removal of infected tissue, sealing the root canal system, and restoring the tooth’s functionality. Commonly used to manage persistent infections unresponsive to conventional root canal treatments, this procedure preserves natural teeth and prevents the spread of infection.
When is Periapical Surgery Recommended?
Periapical surgery is recommended for patients who experience persistent symptoms or complications related to tooth root infections, including:
- Chronic pain or swelling in the gums
- Recurrent infections after root canal treatment
- Periapical abscess or granuloma formation
- Fractures or cracks in the root structure
- Blocked or inaccessible root canals
- Persistent inflammation that compromises oral health
If left untreated, these conditions may lead to severe complications such as periodontal abscesses, bone loss, or tooth loss.
Types of Gum Surgery and Contouring
Apicoectomy
This procedure is performed when the root tip and surrounding tissues are infected or damaged. It removes the root tip and seals the canal to prevent reinfection.
Periapical Abscess Treatment
This procedure is required when a pus-filled pocket forms at the root tip due to bacterial infection. It involves draining the abscess and removing infected tissue to promote healing.
Periodontal Abscess Treatment
This procedure is required when there is a gum infection causing pain and swelling. It involves draining the abscess and cleaning the area for proper healing.
What Happens Before Periapical Surgery?
Before undergoing periapical surgery, your dentist or oral surgeon will:
- Conduct a thorough oral examination, including X-rays, to assess the extent of the infection or damage.
- Discuss your medical history, allergies, and current medications.
- Provide detailed pre-operative instructions, such as maintaining oral hygiene and avoiding specific medications.
- Prescribe antibiotics or painkillers if required to manage infection or discomfort before the surgery.
How Does Periapical Surgery Work?
- Anaesthesia: Local anaesthesia is administered to numb the area and ensure comfort.
- Incision and Access: A small incision is made in the gum tissue to expose the root tip and infected area.
- Removal of Infected Tissue: The infected tissue, root tip, and, if necessary, damaged bone are carefully removed.
- Cleaning and Sealing: The root canal system is thoroughly cleaned and sealed to prevent reinfection.
- Closure: The gum tissue is sutured back in place to facilitate healing.
How Long Does Periapical Surgery Take?
- The duration of periapical surgery typically ranges from 30 to 90 minutes, depending on the complexity of the case and the number of teeth involved.
Risks and Benefits of Periapical Surgery
Risks:
- Temporary swelling or discomfort
- Bleeding at the surgical site
- Rare risk of nerve damage or infection
Benefits:
- Preservation of natural teeth
- Relief from persistent pain and infection
- Prevention of tooth extraction and associated complications
- Improved oral health and function
Post-Treatment Care
After periapical surgery, proper postoperative care is crucial to ensure successful recovery. Follow these guidelines:
- Avoid strenuous activities for 24-48 hours.
- Maintain oral hygiene by gently brushing around the surgical site.
- Use prescribed medications, including antibiotics and pain relievers, as directed.
- Apply ice packs to reduce swelling.
- Stick to soft foods and avoid chewing on the treated side until fully healed.
What Can I Expect During Recovery?
Recovery from periapical surgery typically takes 7-10 days. Mild swelling and discomfort are normal and usually subside within a few days. Follow-up appointments with your dentist ensure the area is healing properly.
When to Consult a Doctor?
Consult your dentist immediately if you experience:
- Persistent pain or swelling beyond a week
- Excessive bleeding
- Signs of infection, such as fever or pus discharge
- Difficulty opening your mouth or chewing
For expert care in Periapical Surgery, including Apicoectomy, Tooth Root Infection treatments, and Periapical Granuloma Treatment, contact the experienced Dental Surgeons for Apicoectomy in Surat at Elegance Superspeciality Dental Clinic.
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FAQ
What is a periapical surgery?
Periapical surgery is a procedure to remove infection or damage at the tip of a tooth’s root and seal the root canal.
Is periapical surgery painful?
The surgery is performed under local anaesthesia, so it is generally painless. Mild discomfort may occur during recovery.
What is the success rate of periapical surgery?
The success rate is typically high, ranging from 85% to 95%, depending on the case.
What are the indications for periapical surgery?
It is indicated for persistent infections, blocked root canals, or fractures in the root structure.
What are the side effects of apicoectomy?
Temporary swelling, mild discomfort, and rare cases of nerve damage or reinfection are possible side effects.
Do teeth hurt after surgery?
Some soreness or sensitivity is normal but subsides within a few days with proper care.
What is another name for periapical?
Another name is root-end surgery or apical surgery.
How much does an apicoectomy cost?
The cost varies depending on the location and complexity, typically ranging from INR 5,000 to INR 15,000.
What is the purpose of a periapical?
The purpose is to eliminate infection, preserve the natural tooth, and restore oral health.
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Elegance Superspeciality Dental Clinic
210, Trinity business Park,
Madhuvan Circle,
LP Savani Rd,
Adajan, Surat, Gujarat 395009
