مقاله تخصصی
Episectomy and eradication of infection
3 months ago
975 بازدید
Dr. Amir Abbas Mashari
تهرانEndodontist, root treatment specialist
It may have happened to you that you have already undergone root canal treatment, but the same tooth is causing you pain again... This time your dentist suggests a different dental procedure called an apicectomy... In this article, we will discuss how this procedure works and the reasons for it
Do you know what episectomy is?
Our teeth are held in place by the roots that extend to our jawbones... Apisectomy is an aminor surgery that removes the apex or the tip of the tooth root... Usually the front teeth have one root... But the premolars and molars have two or more roots... The end or beginning of the root is called the apex and this nerve enters the nerve through a blood vessel... Root canal... Root canal treatment, the canals are well cleaned and any kind of infected or inflamed tissue is pulled out... Episectomy is necessary when the infection has progressed and does not disappear after endo or root treatment.
Why do we need episectomy?
If an infection develops or persists in the root canal, an epicectomy, also known as endodontic surgery, may be necessary....if this is offered to you, it means that unfortunately your tooth will not be saved by conventional root canal treatment....Usually the only alternative to an episectomy is the complete removal of the tooth, which can also affect the normal function of your tooth....tooth.
How to prepare for this operation?
Before performing an episectomy, you should have a consultation and examination with your dentist... a surgeon or a dentist can perform this procedure.... in case of progress in root canal treatment, it is better to perform this treatment method by an endodontist or a dentist specializing in endodontic surgery... Before surgery, the dentist takes a photo of the patient's tooth and the bones around it and prescribes an antimicrobial and antibiotic mouthwash to reduce the possibility of infection and inflammation.
The process of doing this method
First, local anesthesia is used for your comfort and to avoid pain and discomfort.... During the treatment, an incision is made in the gum near the affected tooth to remove the inflamed or infected tissue.... Your endodontist will also remove the tip of the root of the tooth.. X-rays will be taken.. month.
How is the recovery period of episicectomy?
Many patients are able to resume normal daily activities the next day....you may experience discomfort and some swelling during recovery, which is normal....be sure to follow the post-operative instructions your dentist gave you....including diet and brushing recommendations....if your pain does not respond to medication or recovery instructions, call your doctor right away....
Your drinking and eating will be restricted for a few days....the patient cannot brush his teeth on the surgical site....the dentist will prescribe antibiotics and other necessary drugs for the person....it should be noted that the patient should not smoke at all during the recovery period....most patients will recover completely within two weeks after the surgery.
dangers of episectomy treatment
One of the biggest risks of this method is the possibility of surgery failure.... If the surgery fails, your tooth must be extracted.... Other possible risks of this treatment method are damage to the sinuses, congestion, infection and nerve damage.... If the patient experiences pain, swelling or fistula, he should contact his dentist as soon as possible.
Precautionary measures after episectomy
The endodontist will explain to you the medications, foods and drinks that are allowed....you may need to put ice on your face in the treatment area for ten to twelve hours after the surgery....and more importantly, you must have a lot of rest during this time....the day after the treatment, you will have bruising and swelling, which will make your skin stand out and dangerous for two days....it will cause the stitches to open and bleed in the person...about a week or two after the treatment, the stitches will be removed and the problem is solved.
