Apical resection is a preferred treatment option when traditional endodontic treatment is unsuccessful or cannot be applied. The aim is to treat cases with chronic apical periodontitis where no result can be obtained despite recurrent endodontic treatment.
In which situations is it preferred?
- Cases where conventional endodontic treatment has failed
- Symptoms and signs of a chronic apical or periapical lesion may be permanent after root canal treatment. If it is considered that no results can be obtained by repeated endodontic treatment, apical resection can be applied.
- Anatomical Causes
- Pathological Causes
- Traumatic Causes
Following the decision of the procedure, radiographic evaluations are carried out for detailed site examination.
Local anaesthetics are administered at the beginning of the procedure. The flap is lifted in the site, an osteotomy is performed, the root tip is resected, and the tooth is filled in retrograde. The flap is closed and sutured. After one week, the sutures are removed, and the teeth are followed.