Apicotomy and cystectomy are surgical procedures performed to address certain problems with the teeth and surrounding tissues. Some teeth, if they have long-term untreated caries, not only destroy the hard dental tissue, but also the “nerve”. From there, the infection through the root canal reaches the bone, which can be damaged and a cyst or “processes” that lead to cysts can form in it. This is the result of inadequate endodontic treatments, bad fillings and/or crowns on already treated teeth.
An apicotomy is a surgical procedure used when standard root canal (endodontic) treatments are not successful or when the infection reoccurs. The goal is to remove the infected part of the root and prevent further infection. The procedure involves making small incisions in the palate to access the root of the tooth, removing the infected tissues, and sealing the end of the root with a special material. If endodontic treatment does not resolve the problem or endodontics is not available, an apicotomy may be performed to remove chronically inflamed tissue over or around the tip of the root of the tooth, clean the bone, and possibly implant an artificial bone and membrane.
A cystectomy is a procedure used to remove cysts or other abnormal tissues that have developed around the teeth. Cysts are fluid-filled cavities that can form due to infection, trauma, or other causes. If left untreated, cysts can cause pain, damage to surrounding bones and tissues, and even displace teeth. During a cystectomy, the surgeon makes incisions in the palate to access the cyst, which is then removed. Cystectomy is similar to apicotomy, in that the stages of work and the postoperative course are the same. Cysts can range in size from 1 cm to several cm and cause significant bone damage due to their slow but progressive growth. Therefore, as soon as a cyst is detected, it is necessary to remove it. If necessary, the lost bone can be replaced with artificial bone and membrane.
For both apicotomy and cystectomy, postoperative care is critical to successful healing. Patients are usually instructed to maintain oral hygiene, avoid hard foods, and follow up regularly with the dentist. Prescribed medications may include antibiotics to prevent infections and analgesics to control pain.
At VEGA, we strive to provide the best possible care for your teeth. Contact us for more information and a beautiful smile!
