Sometimes, root canal therapy does not work. The culprit is usually an infection in a small root canal branch. Periapical surgery involves extracting a periapical lesion and restores the health of a tooth through tissue regeneration of the periapex.
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What is periapical surgery?
Periapical is one of the most serious root canal procedures: the extraction of lesions at the end of the tooth root.
These lesions are called granulomas and periapical cysts. They are less than a centimeter and can lead to the destruction of the supporting bone of the tooth. We understand patients are apprehensive after a failed root canal and are experiencing pain. For periapical surgery, at Lakeshore Dental Specialists we use local anesthesia or sedation to fully numb you. This time, we access the root through the gums instead of the tooth. The goal is to remove the source of the infection and, if necessary, the tip of the root.
It is normal to feel discomfort in your mouth after a serious procedure like periapical surgery. If you have mild to moderate pain, you can get over-the-counter medication.
Recovery from periapical surgery
If you experience strong pain, we can prescribe pain medication. Bleeding in your mouth is fairly common for a couple of days. You can use a gauze pad directly on the area for 10 to 30 minutes at a time. There may also be swelling in the surgical area for a few days. Use an ice pack for 15 minutes a few times a day to minimize the swelling. Here are some recommendations on what to do, or not do, during your healing process:
- Use a straw
- Swish, gulp or spit
- Blow on objects
- Brush your teeth for a few days
- No smoking
- No chewing hard food
- Participate in demanding exercises
- Eat-in the surgical area for the first week
- Pull your lip
- Rest, especially the first 48 hours
- Keep your head elevated for a few days
- Use an ice pack on the outside of your cheeks
- Use a liquid diet, including smoothies or broth
- Stay hydrated by drinking plenty of water
- Rinse with an antibacterial product
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18501 E 8 Mile Rd, Eastpointe, MI 48021