A root-end surgery, also known as apicoectomy, root resection, retrograde root canal treatment, is a surgical procedure in which the tip of the tooth’s root is removed and sealed.
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Teeth have one to three roots due to their type. Each tooth has a root canal and a pulp which contains living connective tissue, blood vessels and nerves. Apicoectomy is necessary when the infection is progressing and does not disappear after nerve eruption (by root canal therapy). The root canals are complex, and apart from the main canal, several smaller branches may exist. It is possible that the infection remains in the branches after the root canal surgery, and causes reinfection. Apicoectomy is not a complicated procedure and has a high degree of success (more than 90%), especially if it is done by an expert.
It is recommended to do this method under the supervision of an endodontist or an expert dentist in root canal surgery. Before the surgery, the dentist takes some x-rays images from the teeth as well as the bones surrounding it and may prescribe antimicrobial mouthwashes and antibiotics to reduce inflammation and infection. The dentist will also check medical history and all the medications patient is taking include over-the-counter drugs, vitamins and supplements.
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