Root apex resection in 1060 Vienna with Dr. Dr. Felix Wick

When is root apex resection necessary?

Root tip resection is often an option if root canal treatment was not sufficient or the inflammation persists despite treatment. This treatment is a proven method of restoring pain-free function to the tooth. The aim of the treatment is to remove inflamed tissue in the tooth root area in order to preserve the tooth in the long term.

An apicoectomy is recommended in the following cases:

• If root canal treatment has not been able to completely eliminate the inflammation.
• In the case of cysts or abscesses in the area of the tooth root.
• In the case of a fracture or injury to the tip of the tooth root.
• If inflammation occurs repeatedly and further root canal treatment would not be effective.
• To remove broken files from root canal treatment in the area of the root tip or other foreign bodies

Risks and chances of success of an apicoectomy

As with any surgical procedure, apicoectomy is also associated with risks. However, the chances of success of an apicoectomy are good - in many cases the tooth remains intact for many years. A thorough healing process and regular aftercare help to achieve the best results.

Possible risks include

• Post-operative bleeding
• Swelling and slight pain after the procedure
• Rare complications such as nerve damage, especially to teeth in the lower jaw
• Tooth loss despite properly performed treatment 

Your advantages of an apicoectomy with oral surgeon Dr. Dr. Felix Wick

• Specialist practice for oral surgery: apicoectomy is a minimally invasive yet surgical procedure. As an experienced oral surgeon, Dr. Dr. Felix Wick attaches particular importance to gentle and careful procedures.
• Modern technology: We use highly developed instruments to make the treatment as gentle and effective as possible.
• Individual consultation: Before every apicoectomy, we conduct a comprehensive consultation to answer your questions and give you the reassurance you need.

The apicoectomy procedure

1. Diagnosis: With the help of digital x-rays or 3D imaging, we analyze the area around the tip of the tooth root to determine the exact location of the inflammation.
2. Consultation: We discuss the procedure with you, explain possible risks and answer your questions.
3. Local anesthesia: The treatment is performed under local anesthesia to make the procedure as comfortable as possible for you.
4. Removal of the root tip: A small incision is made in the gum to expose the root tip and remove the inflamed tissue. The root tip is then removed and the tissue carefully cleaned.
5. Closure and healing: The area is sutured and usually heals completely within a few weeks.

Aftercare and healing process

After root tip resection, careful aftercare is important to promote healing:

• Rest and cooling: cool the cheek after the procedure to minimize swelling.
• Avoid exertion: Avoid sporting activities and heavy physical exertion for the first few days.
• Good oral hygiene: Maintain good oral hygiene, but be careful not to put too much pressure on the surgical site.

During a follow-up appointment, Dr. Dr. Felix Wick will check the healing process and ensure that the tooth remains stable. >>> Book online appointment <<<