Apicoectomy/Periradicular Surgery

Steps Involved in IVF:

Procedure Description

Apicoectomy, also known as periradicular surgery, is a specialized dental procedure targeting the root end or apex of a tooth to treat and eliminate chronic infections that standard root canal treatments cannot resolve. This procedure is typically recommended when inflammation or infection persists after a previous root canal treatment, or if access to the affected area is too challenging to address through traditional methods. Unlike standard root canals, apicoectomy focuses specifically on the root apex, removing infected tissue and sealing the root tip to prevent future issues.

During the procedure, an oral or maxillofacial surgeon makes a small incision in the gum to expose the infected area near the tooth root. The infected tissue is carefully removed along with the tip of the root. The surgeon then thoroughly cleans the root end and fills it with a biocompatible material to prevent further infections. Finally, the gum tissue is repositioned and sutured to close the incision, allowing the area to heal over time.

An apicoectomy is an effective and minimally invasive solution for many dental patients, particularly for individuals who have already undergone root canal therapy and are experiencing recurring symptoms like pain, swelling, or infection. This targeted approach is often the last step in saving a tooth from extraction, providing a durable alternative that, when successful, preserves natural tooth structure and function.

Procedure Duration

Apicoectomy procedures typically last between 30 to 90 minutes, depending on the tooth's location, the extent of infection, and the complexity of the case. The surgery can be more time-intensive for molars, as these teeth have multiple roots, requiring more precise removal of infected tissue around the root ends. The first phase involves administering local anesthesia, ensuring the patient is comfortable and that the area is thoroughly numbed.

Once anesthesia is administered, the procedure moves to the surgical phase, where the surgeon carefully accesses the infected root through a small incision. This phase usually takes 20-60 minutes, with more complex cases, such as multi-rooted teeth, taking longer. After cleaning and removing the root tip, the surgeon seals the root end with filling material to ensure the infection is contained and prevented from recurring.

Following the procedure, a recovery period is necessary. The initial healing phase lasts about a week, during which patients may experience mild swelling or discomfort. Full recovery can take several months as bone tissue regrows around the treated root, restoring the tooth's stability. Post-surgery follow-up is essential to monitor the healing process and confirm the infection has been fully resolved.

Benefits

  • Preserves Natural Tooth Structure: Apicoectomy is a vital alternative to extraction, allowing patients to retain their natural tooth and avoid the need for prosthetics or implants.
  • Effective in Treating Persistent Infections: By directly addressing the root end, this procedure can eliminate infections resistant to standard root canal treatments.
  • Minimally Invasive: With a targeted approach, apicoectomy requires a smaller incision, resulting in less postoperative pain and quicker recovery.
  • Reduces Risk of Future Infections: Sealing the root end helps to prevent bacteria from entering the area, providing a long-lasting solution for chronic infections.
  • Improves Oral Health Stability: A successful apicoectomy can stabilize the surrounding bone and gums, enhancing overall dental health and supporting adjacent teeth.

Potential Destinations

  • Mexico
    Mexico offers high-quality dental care at competitive prices, making it a popular choice for dental procedures like apicoectomy. Many clinics in cities like Tijuana and Cancun cater to international patients, providing state-of-the-art facilities and experienced dental specialists.
  • Hungary
    Known for its advanced dental clinics and skilled professionals, Hungary is a leading destination for dental tourism in Europe. Budapest, in particular, has become a dental care hub, offering cost-effective treatments with a focus on patient safety and comfort.
  • Thailand
    With a reputation for excellent healthcare services, Thailand is a popular destination for complex dental procedures. Cities like Bangkok and Phuket boast modern dental clinics and well-trained professionals, offering affordable treatment options for medical tourists.
  • Turkey
    Turkey combines skilled professionals and affordable healthcare, attracting many dental tourists each year. Istanbul is home to numerous dental clinics that offer comprehensive apicoectomy services, often bundled with travel packages for international patients.
  • India
    India has become a key player in medical tourism, offering high-quality dental treatments at accessible prices. Clinics in major cities like Mumbai and Delhi provide advanced apicoectomy services with experienced surgeons, making it an ideal choice for budget-conscious patients.

Risks & Considerations

  • Risk of Re-infection: There is a possibility that infection may return if bacteria are not completely removed, or if the root is not properly sealed during the procedure.
  • Gum and Bone Healing Complications: Post-surgery, some patients may experience delayed healing of gum and bone tissue, which may require additional follow-up care.
  • Pain and Swelling: Mild to moderate pain and swelling are common side effects, and while usually temporary, they may persist longer in some cases.
  • Tooth Fracture Risk: Apicoectomy involves removing a portion of the root, which can slightly weaken the tooth and make it more susceptible to fractures.
  • Anesthetic Reactions: Some patients may experience reactions to local anesthesia, although this is rare and generally manageable under professional supervision.

How to Choose the Right Doctor and Hospital

Selecting the right provider for an apicoectomy is crucial for a successful outcome. Begin by researching dental professionals with extensive experience in endodontic surgeries, as this specialization focuses on procedures involving the tooth's interior and root. Look for a dentist or surgeon certified in endodontics or oral surgery and ensure they have a strong track record in performing apicoectomies or similar procedures.

The hospital or clinic should have a reputable history of treating international patients, offering modern dental technology and adhering to stringent sanitation standards. For medical tourists, it’s advisable to choose facilities that have experience in handling patients from abroad, with English-speaking staff and support services to assist with logistics, such as travel and accommodations.

To receive a free quote for this procedure please click on the link: https://www.medicaltourism.com/get-a-quote

Patients are advised to seek hospitals that are accredited by Global Healthcare and only work with medical tourism facilitators who are certified by Global Healthcare Accreditation or who have undergone certification from the Certified Medical Travel Professionals (CMTP). This ensures that the highest standards in the industry are met. GHA accredits the top hospitals in the world. These are the best hospitals in the world for quality and providing the best patient experience. Click the link to check out hospitals accredited by the Global Healthcare Accreditation: https://www.globalhealthcareaccreditation.com

Frequently Asked Questions

What actually happens during hyperstimulation of the ovaries?

The patient will take injectable FSH (follicle stimulating hormone) for eight to eleven days, depending on how long the follicles take to mature. This hormone is produced naturally in a woman’s body causing one egg to develop per cycle. Taking the injectable FSH causes several follicles to develop at once, at approximately the same rate. The development is monitored with vaginal ultrasounds and following the patient’s levels of estradiol and progesterone. FSH brand names include Repronex, Follistim, Menopur, Gonal-F and Bravelle. The patient injects herself daily.

What happens during egg retrieval?

When the follicles have developed enough to be harvested, the patient attends an appointment  where she is anesthetized and prepared for the procedure. Next, the doctor uses an ultrasound probe to guide a needle through the vaginal wall and into the follicle of the ovary. The thin needle draws the follicle fluid, which is then examined by an embryologist to find the eggs. The whole process takes about 20 minutes.

What happens to the eggs?

In the next step, the harvested eggs are then fertilized. If the sperm from the potential father, or in some cases, anonymous donor, has normal functionality, the eggs and sperm are placed together in a dish with a nutrient fluid, then incubated overnight to fertilize normally. If the sperm functionality is suboptimal, an embryologist uses Intracytoplasmic Sperm Injection to inject a single sperm into a single egg with an extremely precise glass needle.  Once fertilization is complete, the embryos are assessed and prepared to be transferred to the patient’s uterus.

How are the embryos transferred back to the uterus?

The doctor and the patient will discuss the number of embryos to be transferred. The number of successfully fertilized eggs usually determines the number of eggs to be placed in the uterus. Embryos are transferred to the uterus with transabdominal ultrasound guidance. This process does not require anesthesia, but it can cause minor cervical or uterine discomfort. Following transfer, the patient is advised to take at least one days bed rest and two or three additional days of rest, then 10 to 12 days later, two pregnancy tests are scheduled to confirm success. Once two positive tests are completed, an obstetrical ultrasound is ordered to show the sac, fetal pole, yolk sac and fetal heart rate.

Embryoscope©

Built into this technology there is a microscope with a powerful camera that allows the uninterrupted monitoring of the embryo during its first hours of life. In this way, we can keep a close eye on the embryo, from the moment when the oocyte is inseminated and begins to divide into smaller and smaller cells, until it can be transferred to the uterus.

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