One of your teeth has given you a lot pain and anxiety for some time. Your doctor has recommended that you seek the services of an apicoetomy professional for succor. Before you engage the teeth specialist you desire, it would be good to understand the kind of professional you need. Below are some of the traits to look for.

Reviews and Recommendations

One of the most important traits you have to look for in your specialist is how well the practice is known. Search the internet, question your doctor, talk to friends and relatives and visit social media sites. In all these areas, your final choice shall have positive and glowing reviews from satisfied patients. Your specialist will come with sound recommendations from other doctors and specialists in the health industry. This way you are assured of not only the best treatment for your tooth problems but also the lowest risk levels.

Experience in Your Specific Tooth Malady

Create a list of all the best specialists from those reviewed and recommended. Next, visit as many as you can for free consultation about your tooth problem. Narrow down your list to those who have the most experience. This way, you will be right at home in the right hands because the surgeon and their support staff will be quite comfortable while treating your problem.

Staff and Equipment

Endodontic micro-surgery, like any other form of surgery, requires specific equipment for a successful procedure. Your chosen consultant must be conversant with the most recent equipment in the market. This equipment must be available in the surgery and the support staff should be very conversant with the equipment. That way, you will be assured of a stress free treatment procedure.

Certification from National and State Centers

The endodontic professional you engage should have certification to practice in your state as well as at a national level. Certification ensures that your surgeon has maintained ethic and professional integrity throughout their practice and is a good identification that the surgeon is recognized by their peers in the health sub-sector.

Basic Education

There is no compromise when it comes to a first degree in dental surgery from a recognized university. A master’s degree specializing in endodontic surgery will be an added advantage. Once your surgeon attained the degrees, specialty training for about two years before being allowed to practice is a further requirement you should look for.

What Will The Procedure Cost You?

Naturally, once the procedure is done, you will need to pay for the service. Have a budget for what you intend to spend. With this budget, you can be able to narrow down the professional you will ultimately settle for knowing you can afford to pay them. It would be much better if your insurance cover caters for the type of service your surgeon will perform.

Follow Up After the Treatment

Remember that the treatment does not end with the procedure. Complications may arise or you may have attacks of anxiety as the healing process starts. In this regard, your chosen surgeon must give assurance that they will be available anytime for consultations. Only then can you engage the professional that best fits your criteria.

Resuming Normal Life after an Apicoetomy

You have had an apicoectomy performed on your tooth, and you are contemplating how to go on with your life. What has happened is that apical surgery or an apicoectomy has been performed where an incision was made on your gum tissue that exposed the bone and the inflamed surrounding tissue. A root-end filling has been placed which shall prevent a re-infection of the root of your tooth, and the gum was then sutured. The bone will naturally heal all round the root over a period of months, and full function shall be restored.

What to expect after the surgery

After the procedure, you may experience some slight discomfort and swelling as the incision heals. This normally happens after any surgical operation and to assuage any discomfort you may feel you may seek any appropriate pain relief medication. Tylenol and ibuprofen are good options although other medication can be prescribed by your doctor if you have significant pain. Remember to eat something before you take the medication to prevent nausea on an empty stomach.

What to Put On Your Diet

Let your diet be limited to some soft food only within the first few days. You have got to avoid chewing hard food during these initial days. You should also avoid very hot or very cold drinks and liquids during the first day after the procedure. Spicy foods my increase your discomfort so exclude them from your diet and remember to maintain a balanced diet to aid with the healing.

Mouth Rinsing

You should not rinse your mouth during the first twenty-four hours after the surgery but start doing so after the period by gently with the use of warm salty water. It is recommended that you do this about four times a day and that using per index, which is 12% chloral-hexetidine, once each day will help.

Handling Swelling

You should expect swelling to take place after the procedure that is normal for any operation. You can control this swelling with the use of ice packs applied for about fifteen minutes, two times an hour, during the day of the procedure. After the first twenty-fours of the surgery, warm and moist compresses are the best option to aid in swelling reduction.

Brushing Your Teeth

You have got to continue with your normal oral hygiene activities during the healing phase after the surgery. You should brush your teeth three times a day with good toothpaste except the area covered by the stitches. For this area, cleaning can best be performed using gauze or Q-tip.

Critical situations

The moment you start running a fever, you have to visit your doctor immediately. Any other complications you encounter must be reported to your doctor to safeguard your health. At times, further procedures may be required such as the placement of bone grafting material to assist in your faster healing.

Remember to inform the doctor that you have had the procedure and the medication you are taking to enable them make the prognosis for any complications you are going through. There is life indeed after an apical surgery procedure.


A trouble-some tooth can be a very painful and disruptive to your normal life, as you have come to learn so well. Your doctor or dentist has recommended that an apicoectomy or endodontic micro-surgery be performed for your trouble-some tooth. Before you seek an expert to heal this unsettling malady, there are some things you should know about the surgery.

Why You Need Endodontic Micro-Surgery

Even after having the root canal of your tooth treated, there are high chances it will get infected again. This is because the entire problem is centered on the tip of the root. Your surgeon will recommend the procedure to rectify your problem and retain your tooth. The procedure is also performed on a tooth that had earlier been treated for a root canal, and the first treatment has failed for whatever reason. In such a case, the procedure becomes the best option for you.

Making Preparations for Surgery

You can start by seeking the best consultant for the procedure which shall then advice you on the risks involved and how to overcome these risks. Make sure you go for a dentist or consultant who has proven experience, expertise, and positive reviews when it comes to endodontic surgery. Once you have identified the professional, then the procedure may commence. X-rays of your tooth and surrounding bones will be taken, and you will be given some antibiotics, medication to cut down on inflammation and some anti-microbial mouthwash.

A thorough review of your past medical history will be undertaken to determine any medication you could be on. These include over the counter medication, vitamins and supplements that may interfere or compliment your surgery and subsequent healing process.

The Actual Operation

Your special dentist will create a small incision on your gum and lift it away from your problem tooth. A drill will then be used to reach the root of the tooth. Infected tissue and the root tip will be removed. In the process, the surgeon will look out for cracks and breaks on the tooth.

Your surgeon will then clean out the chamber and proceed to seal the opening of the canal using ultrasonic instruments and a special microscope. An x-ray will then be taken, and finally the tissues will be stitched up.

Depending on the complexity of the malady, the location, and root structure of your tooth, this procedure should take between thirty and ninety minutes. The front teeth, being easily accessible from the forefront, take the least time while the lower molars take longer.

After The Surgery

Once the procedure is done, administering an ice pack will be recommended upon the area covered at given equal intervals. You will get a prescription of painkillers and antibiotics and a balanced, but soft diet recommended for you. Strong rinsing and brushing the area affected will be strongly advised against as well as the eating of crunchy, sticky and hard food. For better recuperation, you will be asked not to lift your lip to examine the area. All these activities are to ensure that you do not undo the stitches and interfere with blood clot formation that is a necessity for healing.

Are There Risks Associated With Apicoetomy?

If your dentist has recommended that you have an apicoetomy procedure performed on your tooth, it would be important to understand any risks involved to enable you prepare yourself. In normal circumstances, very few risks are associated with this procedure. During your initial consultation with your dentist or endodontic expert, every risk involved should be pointed out to you before your commit yourself to surgery. If your consultant does not point out the risks during the consultation, make a point of asking yourself or seek a second opinion from another expert.

The Most Common Risks

Over time, the actual surgery procedure has become quite developed with numerous successful operations having been carried out. Should your chosen consultant be qualified, experienced and have proven success in the procedure, there are few risks to fear with the surgery. The only common risk is that the surgery may be unsuccessful. This would lead to tooth extraction and a replacement with a synthetic substitute. Other common complications arise with sinus infections or nerve damage.

The Nerve Injury Risk

Perhaps the most damaging risk that may arise due to the surgery procedure on your tooth is nerve injury. This kind of injury is largely determined by the location of the trouble-some tooth within your mouth. Should the tooth that requires treatment be located on the lower jaw and further back, then the chances of nerve damage are much higher. This is because important nerves such as the mandibular nerve are located here.

If your dentist performing the surgery is good, they will be aware of this risk. To avert the danger of nerve injury, an x-ray will be taken prior to the procedure that will pin point where the tooth lies. This way, your dentist will determine whether the procedure would be the most appropriate remedy for your tooth problem or not.

The Sinus Infection Risk

Again, the location of your damaged tooth largely determines the risk factor of a sinus infection. Should the problem tooth be found on your upper jaw, chances are higher you might get a post-procedure infection spreading to your sinuses. An experienced consultant will prescribe antibiotics and decongestants to prevent this from taking place. Remember to inform your dentist if you are on other prescribed medication because the anti-sinus infection prescriptions may interfere with other medications.

Post Surgery Complication Risks

Once the surgery procedure on your tooth has been successfully carried out, you should monitor developments very closely. Should the area where the procedure has been performed display prolonged swelling or pain you should immediately inform your consultant. The swelling or pain could be signs of nerve damage and it would be crucial that the area is properly analyzed and the proper remedy administered.

You may notice painless fistulas appearing around the affected tooth where the procedure was carried out. These are generally tiny raised pimples regress fast. They could reappear which means you have an infection. In such a situation, your dental expert will drain the fistula which shall stop the infection from spreading. Those then are the risks you should prepare for before you have surgery.

Are There Credible Alternatives to an Apicoetomy Surgery to Your Tooth?

You or a loved one is in great pain because of a tooth problem. Your doctor and dentist have recommended several solutions to this ailment. All the recommendations point to an apicoetomy surgery procedure but you feel you need to get as much information as possible before making a decision. At such a point, it is good to inquire about other alternatives to the procedure and also to determine if they would be the better option to go for.

Why get an endodontic treatment?

This procedure is performed on a tooth that has had a failed root canal procedure. Basically, endodontic treatment is a reverse root canal treatment on your problem tooth. In the procedure, your tooth’s apex would be cleaned, re-shaped and then sealed. This would be done surgically through a window towards the end of the root. With this history in mind, you would be justified in questioning whether apical surgery is the best option for you to take.

Skip the Procedure Altogether

One of the options that have become rather popular is to do away with apical procedure entirely. Instead, pained patients are going for a tooth extract and a replacement with an implant instead. However, proponents of this procedure posit that chances of success in the procedure depend on availability of sufficient bone on the site.

Performing an apical surgery procedure comprises the removal of a portion of bone at the apex. This enables the surgeon attain better access to the problem tooth’s end. Additionally, specialists like pointing out that an apical surgery has a much lower rate of success compared to implanting a replacement instead.

It should be pointed out that the best way to determine what decision to make should depend on an individual case by case basis. This is because very few cases are alike and a procedure affects different patients differently.

Denture Replacement to the Tooth

Another alternative to having the procedure is the total extraction of the problematic tooth. The extracted cavity is then filled out with an implant, a bridge or partially removable denture. This way, the chewing function is restored and the adjacent teeth are protected against shifting. However, the pay off for an apical surgery as opposed to denture replacement is a functioning, healthy and best of all, natural tooth which you will keep for the rest of your life.

The Extreme Solution

Should you feel that you wish to take the most extreme option, you could go for the full cosmetic surgery option. Your entire teeth set would be replaced in such a situation meaning you would not have to endure the pain you are going through again in the future. Naturally, this kind of surgery is quite expensive and is very rarely covered by insurance cover.

It is your choice

Whichever remedy you go for, you know that you do not want to continue experiencing the pain and disruption to your life your tooth is causing you. It will be entirely up to you to make the right choice because ultimately, it is your health.