Apical Resection
Apical resection is a surgical procedure that removes the inflamed tissue at the tip of a tooth’s root. It is used when root canal treatment alone cannot fully resolve the inflammation. This surgery helps prevent further inflammation and bone loss. Apical resection can be performed on any tooth. However, if the remaining root would be too short after surgery or if there is risk of nerve damage in the lower jaw, tooth extraction may be recommended instead.
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Before & After
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- Persistent infection unresponsive to root canal treatment
- Cyst formation at the tooth root
- Root canal treatment not possible due to root deformity
- Fracture at the root tip
- Instrument breakage at the root tip during root canal therapy
After local anesthesia numbs the area, a gum flap is lifted to expose the bone at the root tip, which is then removed or smoothed. Any cyst present is excised. The root tip is surgically removed and sealed with a special material. The site is irrigated with saline, and if needed, a bone graft is applied. The gum tissue is then sutured closed.
- Avoid hot, cold, and hard foods or drinks
- Keep the gauze in place for 30 minutes to control bleeding
- Apply ice packs externally to reduce swelling
- Avoid putting pressure on the treated tooth
- Take all prescribed medications as directed
- Prevents tooth loss
- Eliminates persistent infections
- Protects jawbone from infection-related damage