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Apical Resection

It is an operation performed in cases where root canal treatment cannot be performed to eliminate infections that develop at the root tips of the teeth and to clean the inflamed root tip and the surrounding tissues where the inflammation has spread.

  • Situations Where Apical Resection Operation is Performed:

  • Incomplete root canal treatment due to structural or deformity of the tooth root,

  • Inability to perform root canal treatment due to the presence of a non-removable restoration on the tooth,

  • If the tool is broken during Root Canal Treatment and the broken tool must be removed, in order to remove the tool,

  • In cases where the patient's pain continues despite the root canal treatment,

  • In cases where cysts occur on the tooth root,

  • In cases where the 1/3 end part of the tooth root within the bone is broken

 

Apical resection is the surgical cutting of the root tip of teeth with inflammation at the root tip, removing the pathological findings in this area.

It is the process of removing the formations and simultaneously cleaning and filling the root canal or canals from bacteria.

 

In Which Situations Is Apical Resection Surgery Performed?

  • Inability to complete root canal treatment due to excessive curvature of the tooth root, perforation or calcification in the root canal.

  • In teeth whose root tip is not completely closed, that is, teeth that have not completed their development, in teeth where root canal cleaning and filling material application cannot be performed successfully.

  • When the root canal cannot be reached over the tooth (in the presence of crown or bridge prostheses, i.e. coatings) and when root canal treatment cannot be performed

  • If the instrument is broken during root canal treatment, if the broken instrument must be removed, when it is necessary to remove the instrument

  • In cases where cystic formations occur at the root tip of the tooth

  • In cases where the 1/3 end part of the tooth root within the bone is broke.

  • The most realistic measures to evaluate healing after apical resection are periapical radiography and clinical symptoms. Therefore, follow-up of patients is necessary.

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