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Apical Resection Overview
Root infections and inflammations can seriously threaten dental health. When these problems are difficult to resolve with conventional methods such as root canal treatment, an apical resection operation is an effective solution. In this article you will find everything you need to know about the apical resection procedure and the postoperative period.
What is Apical Resection?
Apical resection is the surgical removal of infected or inflamed tissue at the tip of a tooth root. This method is typically used when root canal treatment is insufficient, aiming to save the tooth and preserve its health. Apical resection supports healing of the surrounding bone and prevents spread of infection.
Who is a Candidate?
Apical resection may be indicated in the following situations:
Failed root canal treatment with persistent infection.
A cyst or granuloma at the root apex.
Root-tip fractures.
Persistent inflammation and infection at the root end.
Anatomical obstacles preventing complete cleaning of the root apex during root canal therapy.
Procedure
Examination & Assessment: The first step is an examination and assessment with your dentist or endodontist. Imaging (radiographs and other modalities) is used to determine the extent and location of the infected area.
Anesthesia: Local anesthesia is administered so you do not feel pain during the procedure.
Surgical Intervention: A small incision is made in the gum to access the root. The infected root apex and surrounding inflamed tissue are carefully removed. The root tip is usually resected by a few millimetres and the root canal area is cleaned.
Filling & Sealing: After removal of the root tip, the root canal is filled and sealed to prevent recurrence of infection. The gum incision is sutured closed.
Bleeding Control & Care: Sterile gauze is used to control bleeding and support healing. Your dentist will provide postoperative care instructions.
Postoperative Instructions
To speed recovery and reduce infection risk after apical resection:
Pain management: Use painkillers recommended by your dentist and apply cold compresses if necessary.
Eating & drinking: Avoid hot foods and beverages for the first few days; consume soft, cool foods.
Oral hygiene: Avoid vigorous rinsing for the first 24 hours. Brush gently and take care not to disturb the surgical area.
Suture care: If sutures were placed, follow care instructions and attend the appointment for their removal.
Infection signs: Contact your dentist immediately if you experience fever, severe pain or swelling.
Advantages
Elimination of infection: Surgical removal of infected tissue prevents spread of infection.
Tooth preservation: Enables saving the tooth without extraction so it can continue functioning healthily.
Rapid recovery: Modern surgical techniques provide a fast and smooth healing process.
Functional and aesthetic preservation: Protects the tooth’s function and appearance.
Apical resection is an effective and reliable treatment for root infections. If you have persistent infection or inflammation around your tooth roots, consult your dentist about apical resection.
