Years after the initial treatment, the patient began to notice pain when biting and swelling of the gum near the front tooth. A radiographic examination revealed a localized inflammatory lesion beyond the root tip.
Why This Problem Is Dangerous if Left Untreated
If the inflammation is ignored, it can develop into a cyst or a phlegmon, affect neighboring teeth, and lead to their loss. Additionally, a chronic infectious focus negatively impacts overall systemic health.
Diagnostics
- Radiography showed a pathological lesion at the root apex.
- Clinical examination confirmed that the crown and inlay were intact, but there was pain on palpation in the apical area.
- It was decided to perform an apicoectomy (root-end resection).
Treatment Stages
- Under local anesthesia, the doctor created a small surgical access to the area of inflammation.
- The root tip and infected tissue (granuloma/cyst) were removed.
- The cavity was thoroughly cleaned and sealed with a biocompatible material.
- Sutures were placed, and the patient was prescribed antibiotics and postoperative care instructions.
Patient Outcome
- Within a week, the swelling subsided and the pain disappeared.
- A follow-up X-ray after 2–3 months showed the formation of new bone tissue.
- The tooth was preserved, with its appearance and function fully restored.
Why This Matters
Many patients believe that if a crowned tooth begins to hurt years later, it must be extracted. However, an apicoectomy allows the tooth to be saved without removing the crown and without repeat root canal treatment. It is a fast, predictable procedure that restores the health of the tooth and the patient’s comfort.
Additionally: What Patients Should Know
- Recovery after an apicoectomy usually takes 5–7 days.
- It is important to strictly follow the doctor’s instructions and complete the course of antibiotics.
- With proper care, a tooth after apicoectomy can last as long as a healthy one.
At DentalDate, such surgeries are performed by highly experienced specialists. We use minimally invasive surgical techniques that make it possible to preserve teeth even in complex cases where extraction may seem inevitable.
