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Root canal surgery or apical surgery is only recommended when nonsurgical root canal is unable to effectively save the tooth.An apicoectomy is sometimes required when an infection has developed after the root canal treatment and retreatment. The apicoectomy is also known as endodontic microsurgery since a microscope is often used to complete the procedure.It is possible that after the root canal, the tissue remains in the accessory canals. This can hinder healing or may result in the infection coming back.
Patients require a root canal when the interior of a tooth becomes badly infected or inflamed. Frequently, patients wait until the infection or inflammation becomes very painful. Inflammation or infection severe enough to require a root canal can be caused by faulty crowns, a deep cavity, too frequent or faulty dental work, or a chip or crack in the tooth. There is little reason to fear this procedure, modern anesthetic can make a root canal largely pain free with some recovery time. If you have any questions regarding root canals do not hesitate to consult your dental professional.
The typical cost of apicoectomy (root canal surgery) without dental insurance is about $900-$1,600 or more, depending on the position of the tooth, cost of biopsy, and cost of bone material. Our practice offers convenient financing for treatments that insurance sometimes does not cover. This includes payment plans if the benefits of your insurance have run out for the year. Discuss fees with our team so that appropriate arrangements can be made for you to receive care.
Don’t worry if you have reached the maximum cap with your insurance provider for the year or do not otherwise have coverage to pay for your dental treatment, there are other options available.
We offer a convenient list of options for making payment arrangements, and we work hard to make many third-party lenders and other types of credit programs available for our patients.
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Before Root Canal Surgery:
Before root canal surgery, the endodontist takesx-rays or CTscans of the tooth and root to learn more about tooth anatomy, identify the problem, and plan for potential challenges. In some cases, additional testing can help the dentist better evaluate the patient and prepare for surgery. The doctor may also provide you with an antimicrobial rinse. The clinician also can prescribe antibiotics. Once a treatment plan is established, the doctor will educate the patient on the next steps, and a surgery date will be scheduled.
A review of your medical history is completed. You should tell your endodontist are there any medications you may be prescribed, including vitamins, supplements, and over-the-counter medicines. If you have pre-existing medical issues, the dentist may decide to speak with your family physician in advance of the procedure.
During Root Canal Surgery:
When the patient arrives for the procedure, the area is numbed using a local anesthetic. Patients who experience anxiety associated with dental procedures may also be prescribed a medication to help them relax. Throughout the procedure, the patient can expect to feel pressure but should not experience pain.
Using technology to visualize minute details better, the endodontist makes an incision into the gums alongside the affected tooth. This allows the doctor to examine the tissue surrounding the root of the tooth carefully. The infected or inflamed tissue is gently removed, exposing the root tip, and the area is cleaned thoroughly.
Next, the endodontist removes the infected tip of the root and places a small filling to seal the root canal. The dentist uses a dental microscope and various ultrasonic dental instruments to provide the light and magnified view required to visualize the area being treated. Before completing the procedures, the endodontist orders another X-ray to review the area before the gum tissue is put back in place with stitches. The length of most apicoectomies ranges from half an hour to about an hour and a half, depending on the tooth location and how complex the various root structures are at the site. Generally, front teeth apicoectomies require the least time. Back teeth (molars) can take more time to complete. Small sutures are used to close the gum tissue and promote healing. Because most patients only require local anesthesia, many can drive home after the procedure. Patients who are prescribed medications to help minimize anxiety should leave with a driver to ensure their safety.
To assist with the healing process, all prescribed medicines should be taken as directed. Will also help control discomfort. Patients should avoid toothbrushing in the treated area or no vigorous rinsing should be done. Smoking or eating hard foods or sticky cuisine should be avoided. It is not wise to lift the lip to take a look at the treated area since this activity may loosen stitches or hinder the clotting of blood that protects the wound and allows it to heal.
What is the recovery time after root canal surgery?
在手术后,病人可以expect to experience some soreness, swelling, and minimal bleeding, which improve with time. In the months following the procedure, the bone will continue to grow around the root, stabilizing the tooth and promoting long-term healing and success. Warm salt-water rinses and over-the-counter pain relievers can be beneficial following surgery, and oral hygiene is of utmost importance. Smoking should be avoided for as long as possible to promote proper healing. Most patients can return to work the next day.
If complications continue, call the dentist. Stitches at the affected area will need to take it out in a follow-up appointment if they do not dissolve. Most patients report that discomfort and associated swelling subside within two weeks. While an apicoectomy is a surgical procedure, most patients indicate that recovery is less troublesome than a normal root canal treatment.
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