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Doctor insights on: Apicoectomy Risks

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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 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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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?

No: In the hands of a qualified Endodontist an apicoectomies is a safe procedure with very high success rate. It's often indicated when conservative root canal treatment cannot be successfully accomplished. Drilling a big hole in tooth roots is neither safe nor conservative. Ask to see an Endodontic Specialist for highest level of care. ...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