Cut and scrape around the apex of the tooth

The article was professionally consulted with Master, Doctor Dang Tien Dat - Doctor of Dental - Jaw - Facial - Department of Medical Examination & Internal Medicine - Vinmec Ha Long International Hospital.

Periodontitis is a condition that destroys the tissue around the apex of the tooth with inflammation due to the body's resistance response to the invasion of bacteria from the root canal system, if not treated, it will cause jaw bone destruction and loss of teeth. tooth. Therefore, cutting and curettage around the apex is a surgical method that helps to preserve the tooth, while removing the diseased tissue around the apex to facilitate the healing of the jawbone.

Periapical curettage is surgery to remove the inflamed apex and scrape all the necrotic inflammation around the apex. This method of curettage around the apex is indicated in the following cases:
Instrument to repair the broken pulp, stuck in the canal or broken root. Endodontic treatment has not been successful in cases of periapical infections. The canal is calcified or excessively curved, the pulp is damaged. Granuloma, root cyst. Cases of contraindications to periapical curettage include:
Contraindications to surgery for patients with systemic diseases Special conditions: Pregnancy, lactation. Inflammation of the mouth. Too short root: Because after cutting the apex, the remaining tooth root is not equal to 2/3 of the old length, causing the tooth to be unstable.

The process of cutting and scraping around the apex of the tooth will be performed according to the following steps:
Step 1: General examination: The patient will have a general medical and dental examination to determine the health status as well as the necessary position. apex cut.
Step 2: Take X-ray of the whole jaw: Taking a film of the whole jaw will help determine the jaw bone structure, the pathological condition of the teeth on the two jaws being encountered to be given a specific plan.
Step 3: Oral hygiene
Step 4: Surgical steps for apical curettage
Anesthesia method: Anesthetize the area of ​​the tooth that needs surgery. The flap design is suitable depending on the position of the tooth, the pocket, the area of ​​damage around the apex of the tooth. At an angle of 45 degrees relative to the tooth axis, flip the flap and use a cylindrical drill to cut the tooth apex about 2 - 3 mm. Dredging and completely removing the diseased tissue, especially the posterior region of the apex. Perform a retrograde filling if the canal is not completely obturated or the filling is missing. Wash the wound and close the flap.

After surgery, the patient needs to take care of the incision as follows:
Gently apply ice to the surgical area, 10 minutes apart, several times in the first day. Take antibiotics, relieve pain for 5 days. Monitor the bleeding to stop bleeding in time, if the suture breaks, it needs to be stitched again.

=>> Advice from Master, Doctor Dang Tien Dat - Doctor of Dental - Jaw - Facial - Department of Medical Examination & Internal Medicine - Vinmec Ha Long International General Hospital: Patients need to be examined and treated as soon as possible. the better. Progressive periodontitis leads to alveolar bone resorption and spread to adjacent teeth. Cysts can form in the jawbone.
To examine and treat dental problems, you can go to the Department of Odonto-Stomatology - Vinmec International General Hospital.
Experienced team of doctors, doing gentle, painless procedures. Dedicated nursing care, quick recovery. Patients will be able to use the best medicines, exactly as prescribed by the dentist. The most modern equipment, a clean environment to ensure sterility, will limit complications in the best way.