What to do after failing apicoectomy?

Most people can drive themselves home soon after the apicoectomy procedure. If the patient does need conscious sedation, then he or she will need to arrange transportation home after the surgery.

What happens to your teeth after an apicoectomy?

After that my tooth got infected and an infected tissue builted up at the top of my gum near my nose. Then I had an apicoectomy done to remove the infected tissue. Seven weeks after the apicoectomy, my tooth still have heavy feeling, something like pressure built inside at the top my tooth.

When does an apico need to be done?

If the cause of the problem is a missed canal, an apico won’t solve it and you will have undergone unnecessary surgery. Sometimes apico is done because there is already a crown in place rather than removing the crown and re-doing endo. This is not what you want either.

Can a dentist remove a crown with an apicoe?

The success rate goes up massively if it is done by an experienced endo in the appropriate circumstances i.e. not just because no one wants to remove a crown. I’d just add that really complicated apicoes can/should be done by an oral surgeon.

Do you need a specialist for an apicoectomy?

Re-endo with a specialist, apicectomy, or extraction and replacement… there isn’t always a right or wrong answer, certainly not between one of the first two and the latter. You need to see what your priorities are and your attitude to risk.

What happens if you have a root canal apicoectomy?

The infection causes bone loss to occur around the root where you would need bone for a dental implant. What is An Apicoectomy? An apicoectomy, or “reverse root canal,” is sometimes done as a last ditch effort to save an almost hopeless tooth with a root canal. It does not have a very high long-term documented success rate.

What is the success rate of an apicoectomy?

What is An Apicoectomy? An apicoectomy, or “reverse root canal,” is sometimes done as a last ditch effort to save an almost hopeless tooth with a root canal. It does not have a very high long-term documented success rate. You have about a 40% chance of losing the tooth in 5 years.

What is the worst case scenario of an apico failure?

The worst case scenario is where the “apico” fails and the entire outer bone wall is lost. This usually requires and onlay block type bone graft taken from your chin or the side of your jaw to correct.

Is it normal for a fistula to expand after an apioectomy?

The area of the fistula also seemed to have drained and flattened. Within the last few weeks though, I noticed that a bump started to form where the fistula was originally. Some days it would expand, and some days contract but there was no drainage of any substance, and no pain to the gentle touch, either.