An apicoectomy is a surgical procedure that is commonly used in endodontics, which is the branch of dentistry that focuses on the interior of the tooth. During an apicoectomy, the root tip of a tooth is removed, along with any infected tissue that may be present. The procedure is typically done to treat an infection of the tooth’s root that persists despite root canal therapy. The dentist will first administer a local anesthetic to numb the area around the tooth. Once the area is numb, the dentist will make a small incision in the gum tissue. Through this incision, the dentist will be able to access the tooth’s root. The root tip and any infected tissue will then be removed. The dentist may also use a file to clean out any remaining debris in the root canal. Once the root tip and infected tissue have been removed, the dentist will typically fill the area with a special material called a root-end filling. This material helps to seal off the root canal and prevent any further bacterial growth or infection. The dentist may also place a special type of stitch in the gum tissue to help the incision heal more quickly. After the procedure is complete, the patient will usually experience some relief from their pain and discomfort. However, it is important to note that the root canal may need to be retreated at some point in the future if the infection persists. Additionally, the dentist may recommend that the patient use an antimicrobial mouth rinse or a warm saltwater rinse to keep the area clean and reduce the risk of further infection. Overall, an apicoectomy is a relatively safe and effective procedure for treating a persistent infection in the root of a tooth. While the procedure does involve some level of risk, it is typically successful in eliminating the infection and relieving the patient’s pain and discomfort.
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