ROOT-END RESECTION

The illness

An inflammation of the apex region is generally the consequence of an inflamed pulp. The infection spreads from the pulp to the periodontium and the surrounding bones. During the infection, the apex and its surroundings become inflamed. This causes the area surrounding the apex to become pressure sensitive.

Indications for root-end resection

Short, but well condensed obturation. Separated instrument into the canal. Anatomic reasons: an extremely curved canal prohibiting obturation; calcified canal. Overextended obturation, which is a source of constant discomfort. Removal of the inflammation at the incisor and premolar teeth, if they are the suspected focus.

Preparation for surgery

The surgery is always preceded by a dental examination. The examination is conducted by palpation and percussion. We take a digital x-ray of the tooth, then explain in detail the treatment plan, type of anesthesia, healing process and possible complications. If the tooth is not root canal treated, we perform a root canal treatment - only 24 hours following this can the patient undergo surgery. We recommend eating prior to treatment, because the patient cannot eat until the anesthetic wears off.

The surgery

Root-end resection is performed on outpatient basis, under local anesthesia (2% Lidocaine injection). With incisions around the tooth we create a flap, which we reflect, then drill a small hole into the bone around the apex with a bur. The opening is as large, as the infected area's diameter. Next, we remove 1/3 of the apex with a bur, and then perform an apical currettage. The next step is retrograde sealing of the obturation with cement. We smooth the sharp edges with a bur, return the flap to its original position, and close it with sutures.

Post-surgery complications

The inflammation around the apex persists, and abscess reoccurs. Therefore, follow-up examinations are necessary every 1/2 year to observe the healing process and ossification. The gum tissue might rupture, the angle of the mouth may tear, or herpes might form on the lip. The face could become swollen near the surgical site.

Postoperative care

Sucking and rinsing of the wound is forbidden, because this can lead to bleeding. Instead, the patient should rinse twice a day with Chlorhexamed, which disinfects the oral cavity. All the teeth need to be brushed at night, and from the morning on, the wound can be brushed as well. A soft toothbrush should be used for this purpose. Compresses or warming the face with a pillow is forbidden. However, applying an ice pack to the swelling 5-6 times a day, for 1-2 minutes is allowed. In case of upper root-end resection avoid nose-blowing. Do not perform heavy physical activities, lifting, or bending. If necessary, medication for pain-relief is recommended. Antibiotics should only be taken when instructed by the dentist. Sutures will be removed 5-7 days following surgery. In case of any problems, please call your dentist immediately.

Fees

20.000 - 31.000 HUF > Euro
Charge for examination and consultation: 4.000 HUF > Euro

Appointments: Monday - Friday, 8 am - 8 pm.
Telephone: + (36 1) 266 7766