The teeth are held inside the mouth with help of roots which extend into the jawbone. The front teeth have one root while other teeth can have two or more roots. The tip or end of roots is known as apex which perform the job of making the nerves and blood vessels enter the tooth. These nerves and blood vessels travel through a canal inside the root and into the pulp chamber which is located inside the crown.
When a root canal treatment is conducted, these canals are cleaned by the dentist using special instruments called files. However, when an infection develops or cannot be removed with root canal treatment, an apicoectomy is needed.
Apicoectomy is referred to a patient only by a dentist. A general dentist who has gained an advanced training can conduct apicoectomy. But, due to the advancement in technology, most surgeries are conducted by an endodontist.
Before the surgery, x-rays are taken of the tooth and the bone surrounding it. An antimicrobial is given to rinse the mouth along with a medicine to reduce inflammation, and/or some antibiotics.
The medical history of the patient is also reviewed in which the medications, vitamins, and supplements are examined. Depending on this, the dentist may consult the physician before conducting the surgery.
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