Rasmussen was very friendly and he was very nice. He explained everything thoroughly to me, so that was great. Cavaretta is very warm, very attentive, he answered all my questions, made me feel very comfortable, and after that first meeting I knew he was the doctor that was going to fix my tooth.
View Gallery. Cavaretta Meet Dr. Contact Gallery. Contact Gallery Directions. What Is an Apicoectomy? Recovery After an Apicoectomy An apicoectomy is a surgical procedure, but for most patients, recovery is minor. Expected Side Effects- Swelling, soreness, minor bleeding, and numbness are common side effects of this procedure. They are normal and expected in most patients. Ice- Place ice packs on the skin of the cheek on the side where the apicoectomy was performed.
This is most effective on the day of surgery and helps to reduce swelling. Pain Control- Ibuprofen, an over-the-counter medication, is usually sufficient to manage discomfort after surgery.
Some patients may require a prescription pain relief option, especially if bone grafting or other procedures were performed with your root-end surgery. Medications- Many patients will require antibiotics during healing. Fill any prescriptions as soon as possible and follow the prescribing instructions carefully.
Hygiene- Avoid brushing the area where the surgery was performed until instructed, and brush carefully after brushing is resumed. Vigorous rinsing can also irritate the fresh incisions. Gentle rinsing with a saltwater solution helps to keep to area clean and free of food and debris. As much as possible, leave the area alone, and give your body time to heal. In the case of a particularly stressful operation, it may take up to six months for the bone to fill in the cavity left by the apicoectomy procedure.
Apicoectomies tend to be very successful procedures, with average success rates hovering around 97 percent.
Even in apicoectomy cases that require surgical or non-surgical follow-up treatments, the success rate is still above 90 percent. However, the cost of an apicoectomy varies based on the experience and qualifications of the endodontist , the region, the type of tooth, local rates and other factors.
With insurance, you will likely only pay a small fraction of the average cost. If you want to find out more about our apicoectomy procedures or are interested in a free consultation, call us at But root canals may become re-infected for a variety of reasons: new or recurrent decay; previously undetected accessory extra canals branching from the primary canal at the root end of the tooth; and, occasionally, calcification narrowing and hardening of canals — a reaction to trauma or aging that can block the canals and prevent them from being fully cleaned by conventional root canal treatment.
Sometimes, conventional root canal retreatment may not be feasible, or may even jeopardize the tooth. For example, accessing the canals of a tooth that has a crown and a post in place may require taking apart the entire restoration, which could further weaken the tooth. In such cases, a better alternative is to treat infection from the root end of the tooth instead of the crown end with an apicoectomy. Unlike traditional root canal treatment, an apicoectomy is a surgical approach through the gum.
This allows removal of any inflamed or infected tissue near or around the tip of the root — along with a few millimeters of the root tip itself. A very small filling is then placed in the end of the root canal to seal the canal and prevent further infection. Afterward, a few sutures stitches are placed to assure that the gum tissues are closed and will heal properly. Where necessary, bone grafting or other techniques are used to help the bone to grow and fill back in, particularly if infection has left a significant void.
Over time, the absence of infection will allow the area to heal and return to normal function. Endodontists use state-of-the-art technology such as fiber optic lights, operating microscopes, and ultrasonic instruments that clean via high frequency vibration, when performing endodontic surgery. These advanced technologies give endodontists a very accurate view of the tooth, making the treatment quick, comfortable and successful. While only performed when conventional root canal retreatment is not practical, apicoectomy for failing root canal-treated teeth can save them, returning the tooth, bone and gum tissues to health for many years.
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