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The Problem
An infection has occurred at the tip of the root or roots of a tooth,
spreading into the
surrounding bone that supports the tooth. Occasionally people may be unaware
of the
problem but usually there is discomfort, episodes of swelling, gumboils or
bad taste.
Why do I need Treatment?
If left untreated the infection will spread possibly developing into an
abscess or cyst,
or damaging bone around nearby teeth. The tooth may become loose. The
infection
cannot be cured with antibiotics, but they are often used to give temporary
relief of
symptoms.
What is the Treatment?
An apicectomy is a small surgical procedure designed to cure an infection at
the tip of
the root or roots of a tooth. It is indicated when, for a variety of reasons,
it has proved
impossible for your dentist to cure the infection by removing the dead nerve
and
placing a root filling.
It is carried out under local anaesthetic (injection into the gum).
What can I expect after the operation?
As the local anaesthetic wears off a few
hours after surgery there may be some
discomfort but this is quite variable. This is usually managed with a single
dose of an
analgesic such as Ibuprofen. Antibiotics may also be prescribed. Analgesics
are
seldom required after the first day. Some swelling at the operation site and
sometimes
overlying skin is normal. This is worse 24-48 Hours after the operation and
resolves
over the next few days.
It is important to keep the site of surgery as clean as possible. The area
can be brushed
gently with a toothbrush softened in hot water, together with hot salty
mouthwash
(teaspoon of salt in a beaker of warm water), 2-3 times a day, beginning the
day after
surgery and continuing for 1 week.
What are the possible problems?
Prolonged bleeding is rare but if it occurs pressure with a cotton
handkerchief or
swab for at least 10 minutes usually stops it.
The operation is occasionally unsuccessful at removing the infection. If
unsuccessful
after 2 attempts the tooth is probably better removed.
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