What is a root tip resection?

Apex resection, also known as endodontic surgery, is a surgical procedure performed to remove infected or damaged tissue located at the apex of a tooth’s root. During the procedure, a section of the tooth’s root and the diseased tissue around it are removed, while protecting the root canal from further infection.

Why is a root tip resection performed?

Root apex resection is most often performed in situations where root canal (endodontic) treatment is unsuccessful or when there is renewed inflammation that cannot be controlled by standard means. The procedure is usually recommended in the following cases:

• Chronic inflammation of periapical tissues.
• Periapical lesions, such as cysts or granulomas.
• Broken instruments in the root canal that cannot be removed by traditional means.
• Obstruction of the root canal preventing full disinfection and filling.

What does the root tip resection procedure look like?

The root tip resection procedure is usually performed under local anesthesia, which means that the patient remains conscious but does not feel pain. The entire procedure is as follows:

1. Diagnosis and planning: The procedure begins with a thorough diagnosis – an X-ray or cone beam computed tomography (CBCT) scan is taken to pinpoint the exact location of the problem.
2. Access to the root: The dentist makes a small incision in the gum to access the root apex.
3. Removal of the altered tissue: The pathologically altered tissue and a section of the root tip are then removed.
4. Canal protection: the root canal is filled from the apex to prevent further infection (known as back filling).
5. Wound closure: The gum is sutured, and the patient is given recommendations for post-procedure management.

If done correctly, the procedure can preserve the tooth for many more years.

Recovery from root tip resection

After the procedure, the patient may experience slight discomfort, swelling or pain, which are normal reactions of the body. Typically, the dentist will recommend painkillers and cold compresses on the face to relieve the symptoms. It is also important to follow hygiene recommendations, such as gently brushing teeth and avoiding biting hard foods.

A follow-up visit is usually made a few days after the procedure to assess the wound’s healing status and whether stitches should be removed.

Benefits of root tip resection

Apex resection avoids tooth extraction, which is a significant advantage from the point of view of both aesthetics and functionality of the stomatognathic system. Thanks to this procedure, the patient can enjoy his natural tooth for many years, avoiding the need for implants or prosthetic bridges. In addition, the procedure eliminates the pain and discomfort associated with chronic inflammation.

FAQ – The most common questions about root tip resection

1. does a root tip resection hurt?

No, because the procedure is performed under local anesthesia. You may experience mild pain after the procedure, which can be relieved with pain medication.

2. how long does a root tip resection take?

The entire procedure usually takes between 30 minutes and 1 hour, depending on the complexity of the case.

3. can any tooth undergo apical root resection?

No, the decision to perform the procedure is made by the dentist on the basis of a thorough diagnosis. In some cases, the condition of the tooth may make resection impossible.

4. how long does it take to heal after the procedure?

Most patients return to normal function a few days after the procedure, but it can take several weeks for the tissues to heal completely.

Summary

Root tip resection is an effective and safe way to save teeth that do not respond to traditional root canal treatment. Thanks to modern dental techniques, the procedure is performed precisely and with minimal discomfort for the patient. If you’re struggling with chronic inflammation at the root apex, consult with a specialist at Stomo Clinic in Wroclaw to find out if root apex resection will be the right solution for you.

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