An Apiectomy is a root-end resection, where the dentist cuts through the gum and removes the end of the tooth (known as the apex).
Usually, an Apiectomy is carried out in situations where a root canal procedure has not been sufficient to relieve pain or remove an infection. Occasionally after root canal work, an infection might spread into the bone at the tip of the root and create an abscess. A typical cause of this might be a cracked root, or the presence of infection in canals that were hidden from the initial x-ray. A dentist might decide an Apiectomy is necessary if the patient shows continued discomfort after root canal treatment.
Alternatives to Apiectomy Treatment
As with Root Canal treatment, there aren't really any alternatives to an Apiectomy except the removal of the infected tooth. This is often a costly and traumatic procedure, and may mean further expense if a cosmetic bridge is required.
What is involved in Apiectomy Treatment?
Firstly, local anaesthetic is applied to the area in question. A small cut is then made in the gum tissue to allow the dentist to see the bone and any surrounding tissue that is inflamed. Damage tissue is then removed, along with the tip of the root. The dentist will then insert a root-end filling to seal the area and prevent further reinfection, and the gum is sutured (meaning stitches are put in to join the gum together again).
After the Apiectomy Treatment
Your teeth may be a little sensitive for a few days after the Apiectomy treatment, but you should not be in any serious pain. The bone tissue will heal to fill in the area around the root. Over the counter pain remedies should be enough to manage any discomfort following the procedure.