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Doctor insights on: How Painful Is An Apicoectomy

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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?

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?

Which one?: In many case, apicoectomy is done if a root canal cannot be access from the crown top. You should be on antibiotic. Check with your dentist to manage your swelling. Corticosteroid may be used to control the swelling and pain. ...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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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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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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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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