Resection of the tooth root: what is it, reviews, what is video review
Resection of the tooth root: characteristics and conduct of apekdechomai
Resection of the tooth root (apicectomy) is one of the procedures to maintain the integrity of the dentition, due to the restoration of the main functions of the damaged tooth, requiring surgical intervention.
Unlike the old way of solving this problem, the tooth is removed completely, and spend only a sweep of the inflammation, by incision in the upper part of the root.
When surgery is performed
The operation of resection of the tooth, is carried out in the presence of certain symptoms to determine the urgency of its implementation. The most common cause is periodontitis.
The manifestation of this disease at the apex of the tooth root cyst is formed, in the form of dense fibrous walls, filled with pus. If the inflammation is still not great, and only begin to grow, this process is completely reversible without surgical intervention.
If, however, the centers reach more than 1 cm in diameter, resection is necessary, and the sooner the better. Otherwise, ignoring the cysts can lead to serious complications, such as swelling of gums and cheeks, a sharp, continuous pain in the region of the tooth, and, as a consequence, the emptying of purulent springs in the oral cavity.
In addition to diseases, the need of carrying out resection can influence and careless filling of the root canal. Before carrying out
the operation for filling the roots of the tooth must be completely pulpless. Only after that you can make the filling the canals, including root tips.
If you have a raw section of the canal in this area can begin the inflammatory process, which will inevitably lead to the formation of cysts. Get rid of the inflammation in just two ways.
The first method – removing the sealed cover from the surface of the inflamed canal, cleaning of the lesions of the disease, and back-filling, non-tolerance of repeat gaps. But, this option is quite dangerous, as, in case of incorrect carrying out, it can cause perforation, and, as a consequence, the loss of one, or even several teeth.
Therefore, in recent years, more preferable was the second method – resection. At the same time, with root canal removed all filling material, but only the part that was covered poorly.
Another reason for carrying out this operation, may be the damage to the tooth root. It can occur as a result of the installation or extraction of metallic pin, located in the channel.
More rarely, the inflammation begins to progress through a long period of time, after sealing, when the tooth already has a crown. In this case, to simplify the procedure removing the fillings, crowns, along with the original plot of the root, can be cut, by carrying out resection of the.
Sometimes this method is useless…
Sometimes, apicectomy is not relevant, and its implementation is not necessary. For example, the complete destruction of the tooth root, or extensive his granuloma, a patient will need, only a complete removal of the inflamed organ.
Also, the method of removing and treated chronic periodontitis, which is located in the acute stage. With strong mobility of the tooth, resection, will also be powerless, or even rather useless.
How is the preparation for the procedure
Though the operation resection of the root and is considered one of the most traumatic, before its implementation, which requires special training of the patient.
First and foremost, it includes a complete filling of all root canal that needs to be done at least 24 hours prior to resection.
Next, you need to follow the reaction channel for the filling material. If no signs of inflammation are not detected during the day, then you can safely proceed with the procedure. Well, in the case when the inflammation begins to manifest itself, we need to carefully review the whole surface of the root canal, the presence of gaps.
Upon detection of inflammation, to carry out a full sweep from purulent discharge, and re-seal the channel.
Step by step the whole operation
After the filling is done, you can proceed directly to the resection:
- The first step is to gain access to the top of the tooth root. This is done through education small incision on
the gums. An incision is made in such a way that the mucous area of tissue that is completely detached from the bone.
- The next step is to drill a hole of small diameter in the bone tissue of the gums. This is done using a drill with spherical or fissural type of forest.
- If, when drilling the holes, revealed a granuloma, it is necessary to remove, and, together with granulation tissue. This is done with extreme care, as close to the upper molars, which is accompanied by a process of removal of granuloma, are the maxillary sinus and the nasal cavity. Deletion is performed using kuretani spoon.
- Further, in order to fully open the access to the top of the tooth roots, you can use drill bits or hammer. These tools should be knocking out walls, located on the dental alveolus. This process will allow the dentist to fully expose the root of the tooth. Thus, during the sealing, the probability that any area will be lost is reduced to zero.
- Next step is to discover the root apex, and formed a cyst on it, through the previously made hole in the bone tissue. The place where the cyst is cut off neatly and removed the tweezers out.
- In the place where before was located the tip of the root, is an empty wound, that needs to be filled. This is done with the help of synthetic bone tissue. Placing it in the wound, the healing process will be significantly accelerated, and the defect in the form of dings, after surgery, will not be noticeable.
- Now, you can proceed to sewing the wound. The stitches are made directly in the incision of the mucous membrane. After the operation, in the intervals between the seams, inserted a special «drainage», which serves for drainage of lymph from the damaged area of the gums.
Also, to accelerate the tissue regeneration process, you can use the introduction of special medicines. Is this process strictly under the supervision of a specialist, and assigned too him.
The video shows the process of resection of the root apex of the tooth:
Reveal nuances will help reviews
Resection of the root apex of the tooth, sometimes uncontested operation, which is confirmed by numerous reviews.
Last year, I decided to make apicectomy. More precisely even I did, and made me stabbing pain in the gums, which in the beginning was throbbing, and then turned into a constant, aching pain. Specialist I got a great. The surgery was pretty quick, about 15 – 20 minutes. Pain during the procedure, I felt.
Of course, after the operation for some time felt considerable numbness left side of face (just the left side was aching tooth). Also, a few hours from time to time been made by the pus, in small amounts.
In General, the work done was satisfied. The pain is gone, and that the tooth remained in place, still can easily perform its functions.
Yesterday he appealed to the dentist, about resection top of the tooth root. Heard about this procedure, and only with a light hand, and here, I have to check its performance. The operation was a «one fell swoop». Dentist, spent about 30 minutes to remove the cyst, but it is absolutely painless. The hole was not large, and the stitches were only two.
Feared for the sealing of the tooth, so as not missed anywhere in the area. But as it turned out – in vain. This procedure brought, almost to automatism. After 3 months, the root began to show signs of life, and sensitivity. Swelling after surgery have passed, literally in 2 days.
The price issue
To date, the cost of this procedure depends on the clinic where it is performed, and the region, while not depending on the stage of the disease. On average, the price of resection is quite affordable and ranges from 4 000 to 8 000.
The cost of services includes not only the operation itself and painkillers. Moreover, the drug and the anesthetic option, you can choose yourself (from the specialist list).
After reviewing in more detail the procedure of resection can be made for a conclusion that ignoring the disease cysts – it is not valid. In the cases the first symptom of the disease, do not hesitate to go to the dentist at this surgery.
Given this human factor, as pain, it is worth remembering that at the advanced stage of the disease, pain is only getting stronger, and the treatment, as noted in the reviews, is painless, and the recovery period.
That is, if You are afraid of dental pain, it is best to eliminate the inflammation immediately, if tormented then for a long time.