What are apicectomy and cystectomy and how are they performed?

Apicotomy and cystectomy are surgical procedures used to resolve infections of the roots of the teeth and surrounding tissues. Some teeth have chronic caries, the consequences can be serious. This not only affects the tooth tissue, but can also involve the nerve, creating an infection that spreads to the bone and causes the formation of cysts or abnormal processes. These conditions often result from insufficiently effective endodontic treatments or improperly placed fillings and crowns.

Apicotomy
An apicotomy is a surgical procedure used when traditional root canal treatments (endodontics) fail or if the infection recurs. The purpose of the apicotomy procedure is to remove the infected part of the root of the tooth and prevent further spread of the infection. The procedure involves making small incisions in the palate, removing the infected tissues and sealing the end of the root with a special material. If endodontic treatment is not possible or fails, an apicotomy is performed to clean out the chronically inflamed tissue and implant artificial bone and membrane, if necessary.

Cystectomy
Cystectomy is a surgical procedure to remove cysts and other abnormal formations around the teeth. Cysts are fluid-filled cavities that can occur as a result of infection, injury, or other factors. If not removed in time, they can cause pain, damage the surrounding bones and tissues, and even cause teeth to move.

During the intervention, the dentist makes a small incision in the palate to access and remove the cyst. The procedure is very similar to an apicotomy, with the same recovery process. Cysts can vary in size, from 1 cm to several cm, and can cause serious damage if left untreated. If necessary, the lost bone can be replaced with artificial bone and membrane to ensure proper healing.

It is important that patients follow post-operative care recommendations for a quick and successful recovery.

Postoperative Care
Postoperative care is key to successful healing after both procedures. Patients receive instructions on maintaining oral hygiene, avoiding hard food and regular follow-up with the dentist. The doctor may prescribe antibiotics to prevent infections and analgesics to control pain.
At Dr. Mojsoska, our commitment is to provide you with the highest quality of care for your teeth.

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