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Doctor insights on: Apicoectomy Complications

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What are endodontic retreatment and apicoectomy?

Post Endo Disease: Post endodontic disease can occur after initial treatment for a variety of reasons. The treatment of this condition is accomplished either non-surgically or surgically depending on various conditions. Ewhen possible non-surgical treatment is preferable. This is a redo of the first treatment. When not a choice a surgical approach is used to reach the cause of the infection. At times both are needed. ...Read more

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Difference between endodontic retreatment and apicoectomy?

Difference between endodontic retreatment and apicoectomy?

Endo/apico: Endodontic retreatment usually means re-doing the root canal.

An apicoectomy is a surgical procedure to treat the end of the root. This may involve manually cleaning out infected tissue that won't heal. Often times, the tip of the root is removed, and sometimes a filling is placed in the tip of the root to seal the canal. ...Read more

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Why do I have this strange swelling after root canal and apicoectomy?

Why do I have this strange swelling after root canal and apicoectomy?

Contact: Stay in contact with the DDD who did the procedure. It's common to have post-op sensation. Gradual improvement is the rule. Not all procedures are successful. If symptoms persist or progress, let the DDS know. ...Read more

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I think I have an infection at site of #14's apicoectomy. Would I choose my periodontist to pull or the endodontist who did apico?

I think I have an infection at site of #14's apicoectomy. Would I choose my periodontist to pull or the endodontist who did apico?

Depends: It depends of either specialist performs extractions. They may send you to an oral surgeon or your general dentist. ...Read more

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I had an apicoectomy yesterday afternoon and today it's still swollen and really sore. Is that normal?

I had an apicoectomy yesterday afternoon and today it's still swollen and really sore. Is that normal?

Yes: This dental procedure is fairly large and the area may be sore for a few days. If the swelling and pain start getting worse and not better consult with your dentist. ...Read more

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Can you have an apicoectomy with a chin implant?

Can you have an apicoectomy with a chin implant?

Yes, but...: It depends on the material of the chin implant (silicone vs. Plastic) and the position of the chin implant on the bony chin. Usually the implant is positioned well below the roots of the lower front teeth, and if this is the case, there should be no problem. A lateral cephalogram would reveal this. This is another consideration for undergoing a sliding genioplasty, or chin osteotomy, instead. ...Read more

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Dental: A free gingival tissue graft is not a pleasant experience during or after. I know. Can an apicoectomy be a better experience (seems similar)?

Dental: A free gingival tissue graft is not a pleasant experience during or after. I know. Can an apicoectomy be a better experience (seems similar)?

Yes: Yes, much better and the tissue heals much MUCH better than the hard palate area. Just keep things clean and you will be just fine. ...Read more

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Why would an endodontist send tissue sample to pathologist after a apicoectomy? What are they looking for?

Routine exam: It is routine to send tissues to be evaluated by the pathologist. The tissue is typically inflammation or a cyst and they just want to confirm this. Do not worry. It is very rare that it is something other than this. ...Read more

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Apicoectomy on upper right first molar a week ago, and now what feels like a blister has formed above it, aside the stitches. Is this normal?

Apicoectomy on upper right first molar a week ago, and now what feels like a blister has formed above it, aside the stitches. Is this normal?

Poor prognosis!: For a tooth to need an apicoectomy, in all probability, it already has a root canal that failed. For many this is a procedure of last resort with the probability of long term success, compared to other dental procedures, being very poor. You may now have an infection. If your dds can't bring it down with antibiotics, you want to consider an extraction, probable bone graft ; dental implant! ...Read more

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Following apicoectomy last week, I developed a massive infection. Dentist has me on antibiotics, but pain is severe. Is there anything else I can do?

Following apicoectomy last week, I developed a massive infection. Dentist has me on antibiotics, but pain is severe. Is there anything else I can do?

Pain meds?: Did they give you anything for the pain?
You may need to go back for a stronger pain med.
If infection not resolving, need to back and have it evaluated again and may require switching antibiotics ...Read more

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Had apicoectomy w/ cyst removal 5wk ago. Tooth/gum still don't feel right. Os says no sign of infection but didn't re-xay. Should I get a 2nd opinion?

Had apicoectomy w/ cyst removal 5wk ago. Tooth/gum still don't feel right. Os says no sign of infection but didn't re-xay. Should I get a 2nd opinion?

Be patient: If no infection found, no x-rays are needed. Even though an apicoectomy is considered minor surgery, many people say that recovering from it takes 4-8 weeks. Take care. ...Read more

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Endodontic Apicoectomy: Is it possible for the dentist to drill all the way down and through the tip of the root to avoid slicing into an inch of gum?

Not really.: In order to do a good job the dentist has to see well. We do that by creating a window through the gum and the bone. It is nearly impossible to do it the way you suggest. Remember an x-ray is only two dimensional and doesn't really tell us exactly where the tip of the root is. We need to see it. Don't worry it really isn't as bad as you think it is. It would be much worse to lose the tooth. ...Read more

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Is crown work really necessary? I had to have an anterior root canal redone from 8 years ago. I had an apicoectomy. The dentist pointed out that the original work was only a filling, no crown work was done. Part of my patient plan now includes crown work

Only: Only by clinical exam and an x-ray will you get the true answer to your question. Back teeth in general need some support after root canals to prevent fracture-not so for front teeth unless there are other factors such as appearance or weakened tooth structure. If you're not sure get a second opinion. ...Read more

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Should I get my own CBCT of a molar that has a fistula. This way an apicoectomy can be more precisely done vs. A 2D x-ray the endo. Dds already has?

Should I get my own CBCT of a molar that has a fistula. This way an apicoectomy can be more precisely done vs. A 2D x-ray the endo. Dds already has?

Might be overkill: Your endodontist has prepared him/herself their entire career for moments like these... your failing root canal. Let them do their tasks as they have been trained. If they feel they need the imaging you asked about, they will request it and explain to you why they need it. No need for you to micromanage your care. ...Read more

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An endodontic apicoectomy may save a tooth root but it seems so barbaric a procedure even in the hands of an experienced endodontist. Care to comment?

An endodontic apicoectomy may save a tooth root but it seems so barbaric a procedure even in the hands of an experienced endodontist. Care to comment?

Incorrect: Itis a highly specialized microsurgical procedure, done under local anesthesia in an effort to save your failing tooth. If you are that fearful of the procedure you can always be put to sleep. ...Read more

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I just had an apicoectomy. The dr said the infection ate through the bone into my sinus. My left nostril has been bleeding since the procedure. Help?

I just had an apicoectomy. The dr said the infection ate through the bone into my sinus. My left nostril has been bleeding since the procedure. Help?

Sinus Perforation: Many of the roots of the upper molars and premolars are very near the maxillary sinus. Only a very thin layer of bone and sinus tissue lining separate them. When there is an infection in the root apex of these teeth it can perforate into the sinus and drain. If the drainage from the sinus does not improve as the infection heals over a week after surgery. Go back to the dentist who did the surgery. ...Read more

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Had apicoectomy on crown fitted tooth. Endodontist said surgery went well. Now, around a month after, I have itchiness in gumline between the two teet?

Dentist: Go back and see your Dentist or specialist Endodontist. May or may not be related to root canal treatment. May require some additional treatment, such as antibiotics or gum treatment. May be a totally unrelated problem, such as a viral infection. Would be wise to have area reevaluated. ...Read more

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Just had an invasive tooth apicoectomy. Now, other small side of mouth has a soreness to my tongue contact. A lot of people have cancer. Can this be?

Slow down...: .... relax. You've had an invasive procedure. It is expected that you will be sore, probably for a while. Does it make sense that because you have pain following a procedure that you've suddenly developed oral cancer, based on that one symptom alone? No, it doesn't. Lesions need to be visualized and often biopsied to be diagnosed, so discuss your concerns with a local oral surgeon. ...Read more

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Badly infected tooth had failed root canal & apicoectomy had it pulled tues novacaine, on doxy since sat, feeling nauseous and dizzy since last night?

Badly infected tooth had failed root canal & apicoectomy had it pulled tues novacaine, on doxy since sat, feeling nauseous and dizzy since last night?

Current GI symptoms: Are very likely related to the Doxycycline medication and /or prescription pain medication. Check with the doctor about substitute meds or discontinuing meds. ...Read more

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1 week after a triple apicoectomy and double cysectomy. One cyst involved two teeth and had bone loss, so a graft was added. Should I wear my retainer?

1 week after a triple apicoectomy and double cysectomy. One cyst involved two teeth and had bone loss, so a graft was added. Should I wear my retainer?

Retainers after Surg: Retainers generally do not touch anywhere near the surgical site of apicoectomies and it should be ok to wear especially 1 week post-op. However, this should be answered by either\or both your surgeon and the dentist who made the retainer, as they can clinically examine you just to make sure. ...Read more

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Is it unsafe to have an apicoectomy of tooth #19? My dentist has made X-ray and found the infection under the root canal. I had my root canal done 3 years ago and just got a new crown. I had an appointment with oral surgeon today. He said that there is a

Is it unsafe to have an apicoectomy of tooth #19? My dentist has made X-ray and found the infection under the root canal. I had my root canal done 3 years ago and just got a new crown. I had an appointment with oral surgeon today. He said that there is a

Retreatment vs Apico: Both retreatment and apicoectomy have their place in dentistry. I prefer retreatment as a primary next step because it is a more conservative treatment and can be quite successful. This is not a discredit to apicoectomy though. Your case will be unique and should be evaluated by a competent endodontist. The use of cbct 3-d imaging will help with the decision-making. The os will say extract. ...Read more

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Having recurrent dental infection even after rct, apicoectomy and cyst removal. Can this be making me sick - swollen glands, aches, fatigue.

Poor prognosis: The damaging microbes from the dental infection grow in the mouth and then find their way by spreading to other organs of the body making you sick. The prognosis of this tooth is poor. The current research points to a higher predictability of success with the extraction and dental implant placement in this situation. See your dentist ASAP. ...Read more

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Can dental issue cause palpitations, swollen glands, pnd. Had rtc in '13, the apicoectomy last month. Been miserable since; pmd, dds, + ENT its okay?

Can dental issue cause palpitations, swollen glands, pnd. Had rtc in '13, the apicoectomy last month. Been miserable since; pmd, dds, + ENT its okay?

Of course: The damaging microbes from the dental infection grow in the mouth and then find their way by spreading to other organs of the body making you sick. The prognosis of this tooth is poor. The current research points to a higher predictability of success with the extraction and dental implant placement in this situation. See your dentist ASAP. ...Read more

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Can failed rct and apicoectomy cause other signs of infection (swollen glands, fever, palpitations etc)? Facial CT was negative.

Can failed rct and apicoectomy cause other signs of infection (swollen glands, fever, palpitations etc)? Facial CT was negative.

Possible: But, if ct scan is negative, it will be difficult to diagnose an abscess or other serious infection. I would recommend you to see the dentist who did this procedure. ...Read more

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What is an apicectomy?

What is an apicectomy?

You mean episiotomy: An incision is made at vulva/vaginal fold during vaginal delivery to prevent tare or damage towards anorectal area (may cause fecal or flatus incontinence later ...Read more

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Can you tell me about apicectomy?

Endodontist: You will need an Endodontist to explain the procedure. It needs to be done after root canal hasn't resolved problem. The procedure should be explained to you by your dentist or doctor and all of the expected risks and benefits. Bring a loved one with you to write down what you want to discuss and the options. ...Read more

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When there is an apicectomy on molar tooth roots that is then filled with synthetic bone, is that molar easy enough to extract after osseointegration?

When there is an apicectomy on molar tooth roots that is then filled with synthetic bone, is that molar easy enough to extract after osseointegration?

Absolutely: The bone augmentation is no harder than your own bone, since it is actually your own bone that migrates into the graft site to replace the graft. Hope you don't need to extract that molar after all the work put into saving it. ...Read more

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And could you state what is expected complication of travel in s africa?

And could you state what is expected complication of travel in s africa?

Infectious disease: Best to querry travel advisory regarding endemic disease ie malaria and take appropiate precautions. ...Read more

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Currently being considered for coblation nucleoplasty trial (cervical). Contained herniation. I'm in early 20's. Possible long term complications?

Currently being considered for coblation nucleoplasty trial (cervical). Contained herniation. I'm in early 20's. Possible long term complications?

Coblation: Understand, these treatments are low (not zero) risk, but for what purpose? Contained herniation means that there is no pressure on the nerves, and the disc is simply not in a "normal" location within the disc space. Study? Fine. These haven't worked except temporarily in the lumbar spine. I would be pessimistic. Maximize mckenzie pt. Not heat/us/tens as they are useless. If no other option, fine. ...Read more

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If untreated, what complications or dangers could arise? Thank u.

Complete your Q: Incompelete Question. Complication of Untreated which disease? ...Read more

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What are complications of vbac?

What are complications of vbac?

Uterine Rupture: The most common complications are a failed vbac & need for vaginal bypass (c-section). The most serious are uterine dehiscence (separation of the uterine scar) or rupture. This can lead to catastrophic results with hemorrhage, emergency surgery, hysterectomy, and fetal loss. Major point - please vbac in a hospital where your OB can keep you safe and have access to immediate surgery if needed. ...Read more

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What are the complications of tpn?

What are the complications of tpn?

Short and long term: There are both short and long term complications of tpn. Short term complications include infections, and imbalance of electrolytes, fluid status and blood glucose levels. Long term TPN can result in loss of IV access and also liver injury and cirrhosis. If you remain on TPN for more than 2-3 months, you should be evaluated at an intestine failure center which may consider intestine transplant. ...Read more