Apical resection is a surgical procedure used in dental treatment to solve problems at the root tip.

Apical Resection (Resection of the Root Apex): 

Apical resection is a surgical procedure used in dental treatment to solve problems at the Root Apex. This is usually done to treat an infection of the tissues around the tooth or to preserve an incurable tooth. Apical resection is a surgical option considered when endodontic treatment is inadequate or unsuccessful.

How Apical Resection is Performed:

• Anesthesia Local anesthesia is applied to the patient before apical resection. This ensures that the patient does not feel pain or discomfort.
• Opening the Operation Area: The gum tissues are opened together with the bone around the tooth and the Root Apex of the tooth is made visible.
• Root Apex Cutting: Infected or damaged tissues at the Root Apex of the tooth are carefully cut and removed using surgical instruments.
• Root Apex Shaping: The cut Root Apex may need to be properly shaped and trimmed. This involves the complete removal of infected tissues and the restoration of a healthy Root Apex.
• Suturing: When the operation is complete, the gum tissues are replaced and sutured. This supports the post-operative healing process.

Causes of Apical Resection:

• Failure of Endodontic Treatment: When root canal treatment of a tooth fails, infection or irritation at the Root Apex can persist. Apical resection is used to correct this condition.
• Root Apex Fracture: Fractures at the Root Apex can damage the surrounding tissues of the tooth. Apical resection allows the fractured Root Apex to be removed and restored healthy.
• Presence of Cyst or Abscess: Apical resection may be considered in cases of abnormal growth or fluid accumulation around the tooth root, such as cysts or abscesses.
• Anatomical Issues: In some cases, the Root Apex of the tooth may have a different anatomical structure than normal. In this case, the Root Apex may need to be trimmed or removed.

Care After Apical Resection:

• Pain and Inflammation Control: Pain and inflammation may occur after the operation. Painkillers and anti-inflammatory drugs recommended by the dentist can be used.
• Cold and Hot Applications: Cold or hot applications to the operation site can help reduce swelling and pain.
• Suture Control: After a few days, the dentist can check the sutures. Removing the sutures is important for monitoring the healing process.
• Dental Hygiene: It is important to keep the operation site clean. The dentist will advise on proper dental hygiene and oral care.
• Check Examinations: Regular follow-up examinations after the operation are important for monitoring recovery and planning additional interventions if necessary.

Success Rates of Apical Resection: Success rates of apical resection may vary depending on many factors. These factors include the location of the tooth, the severity of the infection, the skill of the surgical intervention and the general health of the patient. Success rates are generally high, but each case is unique and requires individual assessment. Apical resection is a surgical procedure carefully planned and performed by dentists. This is an effective treatment option used to protect the tooth or improve the surrounding tissues. Patients' communication with their dentists before and after apical resection can contribute to the successful completion of the treatment process.