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What to Expect After an Apicoectomy Q&A

What to Expect After an Apicoectomy Q&A

An apicoectomy is a one-time surgery that removes the apex of a tooth damaged by infection or decay to prevent further damage. It involves a small incision in the gum tissue, treatment, filling, removal of diseased tissue, repair of jaw bone damage, and closure and suture of the gum tissue. If your doctor recommends an apicoectomy, you may be concerned about what to expect afterward. Consult Dr. Moein Darjani, DDS, and Dr. Ali Manesh, DMD at Ideal Endodontics. For more information, contact us, or you can also book an appointment online. We have convenient locations to serve you in Washington, DC, and Woodbridge, VA.

What to Expect After an Apicoectomy | Ideal Endodontics Near Me in Woodbridge VA and Washington DC
What to Expect After an Apicoectomy | Ideal Endodontics Near Me in Woodbridge VA and Washington DC

Table of Contents:

How should prepare for an apicoectomy procedure?
What should I expect during the surgery?
What can you not do after an apicoectomy?
What does a healing apicoectomy look like?
How long does it take to recover from an apicoectomy?

How should prepare for an apicoectomy procedure?


Before your procedure is scheduled, some things may be done before the booking; unless it is a dental emergency, then these may be done just before the procedure. Before the procedure, your endodontist will take X-rays of your mouth to look at not only your teeth but also your jaw, since this is where the pulp is located that is going to be removed. They will also go over your medical history and any medications you are on to make sure that there is not potentially something else causing the irritation and infections developing in the pulp.

Suppose your procedure is not done in an emergency. In that case, your endodontist will most likely recommend that you withhold from consuming any food or drinks the day of, or up to 6 hours before, the procedure if you are going to be using an IV sedative or nitrous oxide, also known as laughing gas. If you have chosen to use only local anesthesia for the procedure, then it is recommended you eat something light before the procedure, such as a smoothie, soup, oatmeal, or salad to help mitigate any chance of feeling nauseous during the surgery.

What should I expect during the surgery?


Since this surgery is normally done while under anesthesia, you will be asleep during the procedure and unaware of what is happening. What will be happening during this time is that your endodontist is going to be making an incision that is normally small in size since it only has to be large enough for them to remove any infected or inflamed tissues around the tooth or affected teeth. Graft material will be placed in the area after all the affected tissues and pulp have been removed and this is to maintain the integrity of the area so the rest of your teeth don’t potentially shift or move. Once your endodontist has made sure that all affected tissues have been removed and the graft material has been placed in the best spot for healing, they will then close the area using sutures.

What can you not do after an apicoectomy?


Your endodontist and their team will go over what is not recommended to do after your surgery in detail before you are released from their care. They will also send you home with an information sheet that will explain everything in detail as well in case you forget anything. Some things that are imperative to creating the best healing environment are to make sure that you avoid any product that involves smoking, as the smoke can cause infection, and in the case of tobacco, it can cause the blood vessels in the area to restrict too much, which can cause pain. It is also important to avoid anything that involves spitting or the use of a straw, as the blood clot that forms inside the area can become dislodged and in the event of this, you can get what is known as a dry socket, which can make healing slower. This does not mean avoiding brushing your teeth so you do not spit; you should still brush your teeth as normal but finish the process off by using a saline or saltwater swish. You should not spit either thing out but allow the water and toothpaste to naturally drain from your mouth by bending over the sink.

What does a healing apicoectomy look like?


Similar to getting a scrap on your skin, the skin in your mouth, you may notice that the site will be a lighter pink or even white near the incision site as it is healing and this is nothing to be concerned over as this indicates that proper healing is happening. The only difference between a healing site on the exterior of your body and a healing site in your mouth is that you are not going to see a ‘scab’ in your mouth since the membrane of the mouth is surrounded by moisture.

How long does it take to recover from an apicoectomy?


The time it takes to recover from an apicoectomy is greatly dependent on making sure you create the best healing environment by doing what has been recommended to you. If you follow the healing instructions, you should notice that the soft tissues in the mouth will be fully healed between 3-4 weeks; however, internally in your jaw, it will take up to 6 months, so be mindful of what you eat even after the incision site has healed over, as you may notice a pressure like feeling while chewing near the surgery site.

Learn about the recovery process for apicoectomy. Our specialists at Ideal Endodontics are here to guide you. For more information, contact us, or you can also book an appointment online. We have convenient locations to serve you in Washington, DC, and Woodbridge, VA. We serve patients from Washington DC, Woodbridge VA, Arlington VA, Lorton VA, Manassas VA, Springfield VA, Alexandria VA, Silver Spring MD, and the surrounding areas!

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