Impacted Tooth Extraction

Reasons for Apical Resection

• Persistent Infections: When infections persist at the root tips despite root canal treatment.
• Complex Root Canals: In cases where the root canals are unusually narrow or curved, making it difficult to treat them effectively through conventional root canal therapy.
• Cysts and Granulomas: To remove cysts or granulomas that have formed around the root tip.

The Procedure for Apical Resection

1. Initial Examination and Imaging: Detailed X-rays or a CBCT scan are conducted to assess the root structure and the extent of the infection.
2. Local Anesthesia: The area around the tooth is numbed to ensure comfort during the procedure.
3. Incision and Flap Creation: A small incision is made in the gum tissue to expose the bone and the root tip of the tooth.
4. Removal of Infected Tissue: The infected root tip and any surrounding infected tissue are carefully removed.
5. Root-End Filling: After the removal, the root is sealed with a small filling to prevent reinfection.
6. Suturing: The gum tissue is sutured back into place to allow for healing.
7. Postoperative Care: Instructions are provided for home care, which includes guidelines on diet, hygiene, and medications for pain and inflammation.

Aftercare and Recovery

• Rest: Patients are advised to rest for the remainder of the day and limit strenuous activities for a couple of days.
• Pain Management: Over-the-counter pain relievers or prescribed medications may be used to manage discomfort.
• Diet: Soft foods are recommended for a few days to avoid pressure on the surgery site.
• Oral Hygiene: Gentle rinsing with warm salt water can help soothe the area and keep it clean. Brushing and flossing should be done delicately around the surgical site.
• Follow-Up Visits: Follow-up appointments are crucial to monitor healing and ensure there is no recurrence of infection.

Potential Complications

• Postoperative Infection: Although rare, any signs of infection should be reported to the dentist immediately.
• Nerve Damage: Care is taken to avoid nerves, but there is a slight risk of nerve damage, especially in lower jaw procedures.
• Sinus Issues: For upper teeth close to the sinus, there may be a risk of sinus involvement, which would require additional care.