Resection, or more simply, cutting off the root of a tooth is a surgical operation, during which special tools are used. According to the dentists, this procedure is simple and does not require special training. The simplest resection is performed on the canines and incisors. If you need to cure a molar or premolar, the operation will last longer and be more difficult.
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What is resection of the tops of the roots of the teeth
The main threat to the preservation of the tooth are bacteria that have penetrated to the root itself. Apicoectomy is used to fight foci of infection. To find out who is shown this technique, it is important to define what is the resection of the apex of the tooth root.
This procedure is an operation aimed to fight infectionpenetrated to the base of the root in the form of cysts, granulomas, periodontitis. Apicoectomy is quite painful, so it is performed under local anesthesia.
During this procedure, remove the layer of gum in order to get to the site of infection. Thereafter cut off the top of the root, and then stitched, which contribute to the proper accretion of soft tissue.
Since infectious diseases block the canal with an inflammatory focus, further treatment is not possible. Therefore, resection of the apex of the tooth root in this case is the only effective methodologyto avoid further infection.
Indications for apicoectomy
The operation for pruning is called apicoectomy, because during it the apex or the apex of the tooth is removed. Indications for such an operation are the following pathologies.
Periodontitis disease. It is associated with the formation on the top of the dental root, filled with pus bag, which is formed due to complications of pulpitis. Various forms of periodontitis are accompanied by aching or throbbing sharp pains.
Cyst formation. Many specialists for the removal of cysts are advised to resect the apex of the tooth root. A small-sized cyst can be treated conservatively by resorting to medication. Through the apex of the root, they are inserted into the root canals or into the cyst itself. But such treatment is very long and not always effective.
Poor filling. If the dental canal is not completely filled during the treatment of the tooth, then the gum will eventually become inflamed and cysts will begin to form. This situation is possible as the fault of the dentist, and with curved dental canals in patients, to the end of which it is impossible to reach.
Poor sealing is necessary remove and clean. However, this procedure is complicated and can lead to tooth loss. Apexectomy will help solve the problem.
Crown or pins on a badly filled tooth. Since the removal of the pins is problematic, and the removal of the crown is associated with additional costs, with incomplete filling of the dental canal, it is easier to cut off the root apex.
The stages of resection of the tops of the roots of the teeth
Depending on the position of the tooth, apexectomy lasts from thirty minutes to an hour. It consists of several stages:
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Anesthesia. The resection of the apex of the dental root is completely painless, since it is performed under local anesthesia. Only after she departs can small pains occur. - Creation of access to the operated site.At this stage, the incision is first made on the gum. Then, to get to the bone, exfoliate the mucous membrane of the gums. Using a drill and special burs, a small hole is cut into the bone tissue.
- Resection of the apex of the tooth. The cyst found through the hole is cut off by a drill from the tooth together with the tip of its root. The cut parts are removed with tweezers.
- Bone tissue repair. After apicoectomy, a cavity forms in the bone. In order for this defect to recover faster, the cavity is filled with synthetic bone tissue.
- Stitching wounds. At the incision site, the gingival mucosa is sutured with a special suture material. So that there is an outflow from the site of operation, drainage is inserted between the sutures. If there are no complications, then after a few days the drainage is removed.
It should be noted that before removing a cyst in an unfilled tooth, one or two days before the apexectomy root canals are sealed.
Contraindications to apicoectomy
Any surgical intervention has contraindications, and resection of the apex of the dental root is no exception. The operation is contraindicated in the following cases:
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if there are cracks in the area of the dental root; - during exacerbations of cardiovascular and infectious diseases;
- when there is swelling on the face;
- if, due to periodontal disease, necks formed on the teeth;
- if the root part is severely damaged, as a result, further prosthetics are impossible;
- with softening of periodontal tissues and loosening of the teeth as a result of periodontitis.
Patient Reviews
Most recently, I had a resection of the four upper teeth. The indications for this were two cysts that showed up in the picture. Just want to say that I was very hurt. Apparently, because the cyst has grown into the maxillary sinus. In addition to local anesthesia, anesthesia had to be introduced into the vein. Therefore, during the operation I was half-forgotten.
The doctor was very surprised what a huge cyst I had formed. But nothing bothered me or hurt me. The pain was completely different. After the resection, edema formed on the face, under the gas fingal, a huge bruise on the neck, and the lip increased five times.
Edema began to subside only on the fourth day, that is, today. I put as many as eight stitches. All days I drink Ketorol. The tooth pulsed as it continues to pulsate. I do not even know if this is normal. After the weekend I go to see a doctor.
The operation on two teeth lasted about an hour. The doctor pulled out a solid bag with the tip of a sawn-off root very professionally. Then all washed and cleaned. The hole turned out to be big, so it was covered with bone chips and 8 stitches were put on the gums. The doctor prescribed medications that need to be drunk. The funniest thing started after the anesthesia went away.
The whole jaw began to hurt! Not even Ketorol helped. In the morning, my whole face swelled so much that I could neither drink, eat, nor talk. Edema began to pass only after three days. Today is the eighth day, but the seams have not yet been removed. Nothing hurts, but I can eat only that which is not necessary to chew. Above all, my torment was left behind, and my teeth were in place.
A month ago, I had an operation that lasted only thirty minutes. After anesthesia, I did not feel anything, only I felt how unpleasantly poking around in the tooth. By the night there was pain and a little swelling. She drank Nise, after which she slept well. The edema was about a week, but did not increase. The doctor prescribed antihistamines, antibiotics and chlorhexidine rinse. I expected the worst, but everything was tolerated.
It all started with the discovery of a granuloma on x-rays. That is, an accumulation of pus formed on the root of the tooth, or more simply, a cyst. This operation, I tell you, is terrible. If it was not a front tooth, then it would be easier to remove it. At first I was prepared for the operation.To do this, they cleaned the canals, then put medicine in them and sealed them.
Everything was fine, but the tooth suddenly began to ache, and the gums swelled. The doctor said to cut it. As a result, they cut off a piece of the root and sewed it all up. Rehabilitation was a long one. For a while I went with a swollen face. The tooth has ceased to move and while I am happy. But I do not want to go through such an operation again. All the time I was afraid that I would bring any infection. I don’t wish anyone to experience this.
Once I went to the dentist to just put a seal. But after examining the doctor sent me on an x-ray. The picture showed that you need to do a resection or remove a tooth. I chose the operation because I didn’t want to lose the front tooth.
At first I was horrified. But a friend who studied at the dentist reassured me. She explained that during the resection, part of the root is simply removed along with the inflammatory focus. And nothing deadly in this.
Before the operation I was given several pricks in the gum. And it turned out to be the worst. Then I did not feel anything painful. I just felt the fingers gum up my gums. Within twenty minutes it was all over and they let me go home. In the evening, a bruise formed on my face, which friends who came to visit me joked about.
Several times after the operation, I went to the doctor to check and remove the stitches. All procedures were painless. As a result, the tooth was saved, and there is nothing terrible in this resection. In addition, such an operation is even cheaper than putting a seal.
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