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Root Tip Resection
Oral Surgery

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Root Tip Resection

Painless, effective root tip resection without tooth loss

Root tip resection (WSR) can be a concern for many patients because it is a surgical procedure. But in fact, it is often the best alternative to tooth extraction and offers a rescue for the affected tooth. WSR offers a long-term solution to dental problems that do not respond to other treatments.

It is understandable that many patients have fears and concerns related to root tip resection. However, it is important to know that this treatment is usually only considered as a last resort when all other dental treatments have not been successful.

To diagnose an apical resection, the dentist performs a thorough examination of the affected teeth and surrounding tissues. This may include a clinical examination, X-rays, and possibly 3D imaging (DVT). This helps the dentist accurately assess the current condition of the tooth, inflammation, infection, and possible other causes of pain or discomfort.

When is an apical resection necessary?

One of the main causes of necessary root tip resection is when conventional root canal treatment is not sufficient to clear the inflammation or infection or has not been successful in the past. In such cases, an apical resection may be necessary to effectively treat the inflamed or infected area and preserve the affected tooth.

Another cause of an apical resection can be a cyst or granuloma in the area of the root tip. These benign tissue changes can result from chronic inflammation or infection and interfere with the normal function of the tooth or surrounding jawbone.

Sometimes, a tooth fracture or a complicated dental procedure, such as the placement of a dental crown or a dental bridge, can also lead to the need for root tip resection. In these cases, the affected tooth may be more susceptible to complications such as inflammation or infection due to its altered anatomical structure.

It is important to note that apical resection is only considered if other dental treatment methods have not had the desired effect.

Procedure of a root tip resection

An apical resection is a surgical procedure that removes the tip of the tooth root to treat infection or inflammation in the surrounding jawbone.

The procedure of root tip resection is as follows:

  1. Anesthesia: The procedure is usually performed on an outpatient basis under local anesthesia. The anesthetic is injected near the affected tooth.
  2. Surgery: The actual root tip resection usually takes between 15 and 30 minutes. The dentist or oral surgeon will first cut open the gums on the affected tooth, expose the jawbone and root tip, and then remove the inflamed or infected root tip. The attending physician then cleans the root canals and seals them to prevent bacteria from entering the surrounding tissue.
  3. Closure: After the root tip has been removed and the root canals sealed, the gums are closed again, usually with absorbable sutures. In some cases, it may be necessary to fill the bone with bone grafting material to ensure optimal healing.
  4. Aftercare: To avoid possible complications, good oral hygiene is required, as well as regular follow-up appointments with the dentist. Pain and swelling may occur in the first few days after treatment. To alleviate discomfort, dentists often recommend rinsing your mouth regularly with an antiseptic mouthwash, applying cooling measures, and taking painkillers such as ibuprofen.

Alternatives to conventional apical resection?

If you are looking for alternatives to apical resection, there may be several reasons for this. You may be concerned about the surgical procedure, or you may be interested in less invasive treatment methods. In this section, we would like to introduce you to some alternatives to root tip resection that can be considered depending on your individual situation.

The choice of the appropriate treatment method should always be made in close consultation with your dentist or oral surgeon in order to ensure the best possible success for long-term tooth preservation.

  • Root Canal Revision / Endorevision: If the first root canal treatment was not successful, a new root canal treatment can be performed. This involves reopening the tooth and carefully cleaning and disinfecting the root canal before closing it again. This can be an alternative to apical resection, especially if the inflammation is not yet too advanced.
  • Tooth extraction: In some cases, it may be necessary to completely remove the affected tooth (extraction). This can be considered in particular if the root tip resection is considered too risky or not promising. After extraction, the lost tooth can be replaced with a dental prosthesis such as a bridge, partial denture, or dental implant.
  • Laser treatment: The use of laser technology in dentistry is on the rise, and there are also promising approaches in the treatment of root canal infections. The idea here is to disinfect the root canal using a laser to fight inflammation and minimize the formation of scar and connective tissue. However, this method has not yet been established as a routine treatment, and it is important to be aware of the risks and the current state of research.
  • Microsurgical root tip resection: It is a more advanced alternative to the classic method, as it involves the use of surgical microscopes and special instruments. These allow for more precise cleaning and filling of the root canals, protect the surrounding tissue and increase success rates. As a result, less pain, improved wound healing and preservation of one's own tooth are more likely, which can avoid more expensive treatments such as bridges or implants.

Root tip resection – top care and tooth preservation by Dr. van Sprundel and team

If you are about to undergo an apical resection, we would like to assure you that you are in the best hands with Dr. Nina van Sprundel and her team.

Our experienced team, including our specialist oral surgeon Dr. Frank Willebrand, uses state-of-the-art technologies to ensure pain-free, successful tooth preservation treatment.

The cooperation of the experts guarantees first-class care. We offer individual attention and are always available to answer any questions you may have. Rely on our expertise to regain your healthy smile.

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