An Apicoectomy is the Surgical Removal of the infected tissue caused by the filtration of bacteria into the pulp chamber. During an Apicoectomy the Surgeon will make an incision into the bone right at the apex of the tooth. A CBCT 3D imaging helps our Surgeon locate the infection and surrounding hard tissues.
Periodontists perform the apicoectomy as a last resort to save the natural tooth when the patient presents a severe infection. It is referred to as a minor surgical procedure that removes the infected apex (tip of the tooth’s root).
Apicoectomy, the last resort to Save the Tooth
Apicoectomy is an alternative or an adjunct to a Root Canal. Most of the time happens when a Root Canal was not enough to clear the infection.
This procedure is done in the periapical part (Around the tip of the tooth root). Unlike endodontics, which removes the neurovascular pack, without intervening on the Dental Root.
Both treatments share an approach, as they are intended to preserve the natural tooth. In addition to cavities, traumas, and bruxism, they can also trigger an apicoectomy.
Apicoectomy Step by Step
Step 1
Consultation with the Periodontist
Oral and systemic health assessment • Facial esthetic evaluation • X-Rays, Panoramic, 3D CBCT Scan (full in-house equipment for this treatment) • Wax-up (important for an aesthetic outcome for your implant treatment)
Step 2
Local anesthesia
The periodontist apply local anesthesia to numb the affected tooth and the area of tissue adjacent to it
Step 3
The incision in the gum
The periodontist makes a small incision in the gum, to access the bone mass•
It is necessary to remove a certain amount of bone so that the tip of the root, or apex, is exposed.
Step 4
Extraction the apex
A cut is made in order to extract the apex and drain the infected tissues
Step 5
Sealing of the tooth canal
The canal of the tooth is sealed to avoid the appearance of future infections and prevents any leakage.
Step 6
Suture and healing
The periodontist suture the incision made in the gum • The apicoectomy does not hurt being a minimally invasive surgery, it does not cause serious discomfort to the patient • Sutures will go unnoticed 2 weeks after surgery
Apicoectomy Mexico Costs
The consultation fee includes 3D CBCT X-Rays, Periapical X-Rays, intra-oral scanning, surgical guides, models. We offer you a state-of-the-art facility with specific technologies to perform these treatments with precision in short time frames and even transportation from the airport, and to your hotel and appointments in Cancun.
Apicoectomy
$350 USDPer tooth
Post Op Indications
Avoid brushing the affected area
Cold compress application
Soft food diet
No smoking, no alcohol
Don’t make physical effort
Keeping your head slightly raised
Take the medication
Avoid brushing the affected area
During the first days, avoid brushing the affected area and include – after consulting with your dentist – an antiseptic mouthwash in your hygiene routines.
Cold compress application
During the hours following the intervention, apply cold intermittently to the affected area to relieve inflammation.
Soft food diet
Follow a soft, cold-food diet for 24 hours after surgery, without chewing on the affected tooth and adjacent teeth.
No smoking, no alcohol
Avoid, as far as possible, smoking in the hours following the intervention. Also, you must remember that alcohol intake makes it difficult for the wound to heal.
Don’t make physical effort
Do not do sports or activities that involve physical effort, and try to rest in the hours following the operation.
Keeping your head slightly raised
Remember the importance of keeping your head slightly raised, for example, using pillows when resting.
Take the medication
Take the medication indicated by the specialist to ensure proper healing.
When is a tooth extraction necessary and inevitable?
The success rate for apicoectomy is very high. However, in very specific cases, apicoectomy does not represent a real solution to the problem or is contraindicated. The decision will be made by the periodontist based on the patient’s medical history and the diagnostic consultation. If the patient has any of the following conditions, the apicoectomy will not be possible and the tooth will have to be extracted:
- If the tooth already has false canals or a fracture.
- In acute infectious processes that present abundant bleeding.
- If the supporting bone has been affected.
- In case of extensive damage to the tooth root.
- If the area in which the infection has occurred is located close to the maxillary sinus.
- A very advanced periodontal disease (pyorrhea).
- In the event that the person has clotting problems that can lead to uncontrolled bleeding.
- If the tooth has longitudinal fractures.
Apicoectomy Mexico Treatment Alternatives
Extraction
If the tooth has been severely decayed to the gum line or if their tooth is found to be brittle upon physical evaluation we may have to extract the tooth to prevent further infection.
Short Bicon Dental Implants
We use the Bicon System of Short Implants in order to take advantage of minimal bone levels and avoid vital structures such as the sinus or mental foramen, which usually require multiple visits.
Zygomatic Dental Implants
Zygomatic Implants are Implants that are much longer in length than conventional Implants (40 mm – 50 mm), and are placed in the dense Zygoma bone or otherwise known as the cheekbone.
Mini Dental Implants
Mini Dental Implants in Mexico is a great option for patients that are not candidates for normal Implants. It is also a great option for the Snap-on Dentures Treatment we offer.