An apicoectomy is minor surgery to save a tooth when infection persists at the tip of the root after root canal treatment. The dentist reaches the root tip through the gum, removes the last few millimetres along with the infected tissue, and seals the canal from that end.
It lets you keep a tooth that would otherwise be extracted. It cannot rescue a tooth with a vertical root crack or too little bone support, and its success depends on the canal above the seal being reasonably clean.
What Apicoectomy (Root End Surgery) involves
After local anaesthetic, a small flap of gum is lifted near the tooth. A window a few millimetres across is made in the thin bone over the root tip. Under an operating microscope the inflamed tissue or cyst is scraped out and usually sent for analysis, about 3 mm of root tip is cut off at a flat angle, and the root face is stained and inspected for cracks and missed canals. An ultrasonic tip prepares a 3 mm cavity up the canal, which is filled with a bioceramic material such as MTA. The gum is stitched back with fine sutures and an X-ray confirms the seal.
Who is a good candidate for Apicoectomy (Root End Surgery)?
Considered when a root-filled tooth still has infection and repeating the root canal is not possible or has not worked.
- Persistent infection or a sinus tract on a tooth with a sound crown or post that would be risky to remove
- Blocked, calcified or ledged canals that cannot be re-treated from above
- A cyst or lesion at the root tip that needs biopsy
- Front teeth and premolars, where access is straightforward
Es ist normalerweise nicht die richtige Wahl, wenn:
- Teeth with a vertical root fracture, which need extraction
- Advanced gum disease with little supporting bone
- A poor-quality root filling that could simply be redone
- Roots lying very close to the nerve of the lower jaw or the sinus, unless a CBCT scan shows safe access
- Teeth that cannot be restored with a sound crown
Technikoptionen
- Microsurgical apicoectomy: Microscope, ultrasonic tips and bioceramic filling. The current standard, with healing in roughly 85 to 95 percent of suitable teeth.
- Traditional technique: Larger bone window, bur preparation and amalgam seal. Lower success; largely superseded.
- Guided surgery: A 3D-printed guide from a CBCT scan directs the drill to the root tip, useful near nerves or the sinus.
- With bone graft or membrane: Added when the defect is large or passes through both bone plates.
Was passiert während Ihrer Behandlung
It takes 30 to 90 minutes under local anaesthesia, longer for molars. You feel pressure and vibration but should not feel sharp pain. You go home straight afterwards with an ice pack and written instructions.
Vorbereitung auf Ihre Reise
Planen Sie 3 bis 7 Tage in Istanbul. Ihr Chirurg überprüft Fotos und Ihre Krankengeschichte, bevor Sie buchen, und Sie treffen sich persönlich am Tag vor der Operation zur Untersuchung, Markierung und Zustimmung mit einem professionellen Dolmetscher.
- Stoppen Sie das Rauchen und Nikotin mindestens vier Wochen vor und nach der Operation; es ist die größte vermeidbare Ursache von Wundproblemen
- Erzählen Sie dem Team von allen Medikamenten und Ergänzungen, die Sie einnehmen; Blutverdünner, einige Kräuterprodukte und Hormonbehandlungen müssen möglicherweise auf Anraten Ihres Arztes unterbrochen werden
- Vereinbaren Sie, dass jemand mit Ihnen reist oder erreichbar ist, und halten Sie die ersten Tage zu Hause frei von Arbeit und Heben
- Buchen Sie einen veränderlichen Rückflug; Ihr Chirurg bestätigt, wenn Sie fit sind
Genesung und Ergebnisse
Swelling and bruising peak on day 2 and settle within a week. Eat soft food on the other side, avoid lifting the lip to look, and rinse gently with chlorhexidine or salt water from the next day. Stitches come out at 3 to 7 days. Bone fills the defect slowly, so healing is judged on X-rays at 6 and 12 months.
- Zurück zur alltäglichen Aktivität: 1 bis 3 Tage
- When results show: Symptoms settle in 1 to 2 weeks; X-ray healing at 6 to 12 months
- How long they last: Long-term if the bone heals
Sicherheit, Risiken und Revisionspolitik
Serious problems are uncommon; most issues relate to swelling or the procedure not resolving the infection.
- Persistent or recurrent infection, leading to extraction
- Gum recession or a small scar at the incision line
- Numbness of the lip or chin after lower premolar or molar surgery, usually temporary
- An opening into the sinus with upper back teeth
- Bleeding, swelling and bruising of the face
- Discovery of a root crack during surgery, meaning the tooth cannot be saved
Jeder schriftliche Vorschlag wird durch Clinic-Y gibt an, was die Klinik abdeckt, wenn eine Korrektur erforderlich ist. Fragen Sie danach, bevor Sie buchen, nicht danach.
Cost of Apicoectomy (Root End Surgery) in Türkiye
Clinic-Y does not publish a single price for Apicoectomy (Root End Surgery), because the honest figure depends on your case. What moves it:
- Front tooth versus multi-rooted molar
- CBCT scan and use of a microscope
- Bone graft or membrane if needed
- Laboratory analysis of removed tissue
Senden Sie Ihre Fotos oder Berichte und Sie erhalten geschrieben, All-inclusive Vorschläge von geeigneten Teams, Seite an Seite. Die Überprüfung Ihres Falls ist kostenlos.
Häufig gestellte Fragen
Is it better than an implant?
Keeping a natural tooth is usually preferable when the outlook is good. An implant remains an option later if it fails.
Does it hurt afterwards?
Most people manage with ordinary painkillers for 2 to 3 days. Swelling is often more noticeable than pain.
Can I fly after it?
Yes, generally within a day or two. After upper molar surgery near the sinus, ask your dentist first and avoid blowing your nose hard.
How will I know it worked?
Symptoms go, the gum stays healthy, and follow-up X-rays show bone filling in over 6 to 12 months.