Learning the nonsurgical endodontic treatment strategy or a root canal for a correct interpretation of endodontic surgery is fundamental. A root canal is essential when the infection or inflammation occupies the crucial internal tissues of the tooth, called the pulp. Severe tooth decay, repeated dental procedures, or damage to the tooth may generate this condition.
A dentist or an endodontist will cut out the malignant or infected pulp by endodontic surgery. The tooth channel will be cleaned and filled to keep the tooth intact during the operation. However, there are several nonsurgical endodontic operations to recover the tooth. If nonsurgical endodontic procedures are not enough to recover the tooth, a dentist or an endodontist may suggest endodontic surgery.
Cases that require endodontic surgery include:
- Cracked roots
- Persistent cysts
- Regularly blocked root tips
- Acute pain
- The need to clean up residue from an early root canal treatment
- Perforated root tips
- Abnormally formed tooth with poorly structured roots
Surgery may be vital for diagnosis. If you are dealing with specific syndromes, not able to detect the issues through X-ray scans, there may be a slight crack on the tooth or canal that is not visible with the nonsurgical procedure. In such occurrences, the endodontist may perform surgery to monitor the tooth root, observe the complication, and suggest surgery.
Sometimes, calcium deposits can reduce the canal to the extent where it is hard for cleaning and shaping instruments used in the nonsurgical method to access the tooth’s root. If calcification occurs inside the tooth, endodontic surgery may be the sole approach to clean and close the rest of the canal.
The tooth should be stable for a lifetime and never require additional endodontic surgery after a root canal surgery. However, in occasional incidents, the tooth may not improve and become troublesome or infected within months or years after the initial operation. Endodontic surgery may save the tooth in these situations.
Surgery can also be crucial when there are tears to the root surfaces of adjacent bones.
In order to deal with injured root surfaces or neighboring bones, surgery may also be carried out.
Although many surgical methods can be executed to save a tooth, the most frequent is an apicoectomy or root-end resection. Your endodontist may perform an apicoectomy if inflammation or infection stays in the bony zone around the end of the tooth after a root canal operation.
Although there are many surgeries to save the tooth, the most prevalent endodontic surgery is an apicoectomy or root-end resection. Apicoectomy is usually suggested when inflammation or infection develops on the bony part situated at the tooth base following a root canal procedure.
An apicoectomy involves dissecting the gum tissues adjacent to the toot to expose the bone beneath and eliminating any infected or inflamed tissue. The method also includes extracting the tail end of the root.
The endodontist or oral physician may install a small filling to close the tail end of the root canal. Stitches or sutures in the gum will assure that the tissue settles perfectly. With time, the bone will improve around the root, and the tooth will be thoroughly repaired.
An apicoectomy procedure is assigned to help you save your tooth, providing you to advance your natural bite and the healthy functioning of your jaw. This approach has been suggested to reduce the symptoms of the diagnosis.
Other surgeries endodontists might offer include dividing a tooth in half, repairing an injured root, or even eliminating one or more roots. Your endodontist will be content to explain the different types of surgery your tooth requires.
An operation called intentional replantation may be performed in incredibly complex situations. A tooth is extracted in this procedure, treated with an endodontic operation while out of the mouth, and replaced in its socket.
The strategies are constructed to save your tooth.
The most fundamental stage for Endodontics in Turkey is the initial examination. In this stage, the root’s condition will be established. Before setting up the operation, there are some assessments to meet with, such as radiographic or pulse imaging, or root testing to determine the problem in the tooth.
Bacteria is the central element behind pulp diseases. Patients usually undergo the operation due to bacteria accumulation around the root or if the tooth has experienced shocks before. This can be detected by the evaluations before the procedure. There are no particular actions to perform before the procedure, but patients need to avoid eating and drinking at least an hour before the operation.
This appointment is needed before all surgeries are arranged. During this visit, a review of your x-ray along with the tooth in question is performed. An in-depth report of what to predict before and after the procedure is provided to prepare you for your surgical operation. All medical considerations will be discussed at this point. If you are on medication, you should notify the specialist who will be treating you. Besides, a step-by-step examination of the surgical operation will be provided with illustrations from our surgical pamphlet. This consultation takes roughly 30 minutes, and its focus is to make sure all of your questions are answered. At the end of this appointment, you will be provided an information package that reports the consultation discussion. You will also be given instructions. On the morning of the surgery, you will need to eat a good breakfast and start all of your prescribed pharmaceuticals.
This operation is performed under local anesthesia. It is necessary to have the physician work comfortably and do nothing the patient can feel during the procedure, which negatively affects it. The extent of the procedure depends on the applied approach and the method’s scope.
The oral cavity is disinfected before starting the operation. The injured nerve tissues, veins, and damaged cells are cleared away from the root canal, and tissues are collected independently. A sterile solution sterilizes the root canal. The cleaning stage should be accomplished carefully to prevent the damage again. After cleaning, the following cavity is filled with a pharmaceutical substance that is particularly consistent with tissues. This material is usually Gutta Percha, it is a flexible material made of rubber and fits the filled space due to its ease of formation.
After the procedure of Endodontics in Turkey, the artificial teeth do the functions of the other teeth in the mouth. Any remaining stitches will be removed at this appointment. A review of the tissues at the surgery site is achieved.
Sensitivity and pain may occur while pressing the tooth in the treated area for a couple of days. If discomfort occurs, it is easy to control it by painkillers.
There are some things to consider after the procedure. You should avoid sugary foods and drinks after the procedure. Because bacteria can use the sugar in these foods to produce acids, these acids damage teeth.
Do not eat for a couple of hours after the procedure. Do not eat solid foods. This can affect the recovery process by damaging the teeth. Then, you should consume easy-digesting foods such as yogurt, eggs, and fish.
It is essential to guarantee the teeth and mouth’s hygiene to maintain the results for the longest possible period.
The doctor may recommend some special things depending on the patient’s condition.