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Apicoectomy in India

What is Apicoectomy ?

A root end surgery, also known as apicoectomy root resection, retrograde root canal treatment (c.f. orthograde root canal treatment) or root-end filling, is an endodontic surgical procedure whereby a tooth's root tip is removed and a root end cavity is prepared and filled with a biocompatible material.

This is usually necessitated when a conventional root canal therapy had failed and a re-treatment was already unsuccessful or is not advised.State-of-the-art procedures make use of microsurgical techniques, such as a dental operating microscope, micro instruments, ultrasonic preparation tips and calcium-silicate based filling materials.

The recent addition of SOM's to endodontic therapy can allow better visualization and management of the surgical field by endodontists during endodontic procedures through magnification and greatly improved high intensity lighting. SOM's typically magnify in the 4X to 25X range. The other commonly used magnification aide, through lens eyeglass mounted surgical telescopes, provide 2.5X to 4.5X magnification. Surgical operating microscopes have a steep learning curve and require training, as well as patience and practice to master.


Root canal anatomy

Removal of the root tip is indicated to remove the entire apical delta ensuring no uncleaned missed anatomy. Extraction may be the only alternative. Where necessary prosthetic replacement with a denture, dental bridge or dental implant may be considered.

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