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Apicoectomy at the oral surgery specialists in Munich

The key things to know about an apicoectomy (root end resection)

Why is an apicoectomy necessary?

Advanced inflammation in a tooth can usually be treated effectively via root canal treatment. In some cases, however, bacteria remain in the root canal system and, over time, cause acute or chronic inflammation of the root tip and surrounding tissues. Depending on the particular case, an apicoectomy can be considered as an alternative to root canal treatment.


What is an apicoectomy?

In an apicoectomy, the root tip is surgically removed along with any inflamed tissue surrounding it. The oral surgeon opens up a small lateral access point in the jawbone. This is usually done under local anaesthetic and is completely painless. During this procedure, the remaining tooth root is closed again from the basal side with a special filling material and the connection to the soft tissue is sutured.


What do I need to be careful about after an apicoectomy?

An apicoectomy is a minor surgical operation. As part of the procedure, our experts will explain what you will need to consider. Here you can find a comprehensive compilation of rules for post-operative behaviour. If the wound was sutured, the stitches are usually removed after about 10 days.

Source: Dr. Sebastian Grunert, Dr. Butz & Partner, 01.06.2022, Munich
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Our practice in Munich

Our dental practice in Munich offers all outpatient treatments for tooth, mouth and jaw diseases, and we specialise in a wide variety of dental disciplines. From prophylaxis to oral surgery and orthodontics, you will always find the right person to carry out your dental treatment at our practice in Munich. We believe in safe planning and dental treatment according to the applicable guidelines and specifications set out by professional associations, and we have close links to university research and development.


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Oliver Angelmaier

Dear team at Dr. Butz & Partner,

Now that my initial excitement about the modernity of the facilities has subsided, it is your team that keeps me coming back.
From simple routine examinations to professional tooth cleaning - I was always informed and treated with great care and without rush.

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Apicectomy Munich

Apicoectomy Munich

Tooth preservation before tooth replacement: This is one of the central guiding principles of modern dentistry. Even if oral surgery clinic Dr. Butz & Partner Munich has the most effective and high-quality means of tooth replacement available — they are never preferable to a natural tooth.

The most common step taken to preserve a tooth that has already been deeply damaged is root canal treatment (RCT). Due to its importance, this technique constitutes one of the focal points among the qualifications of our highly specialised team of dentists. In most cases, root canal treatment can stop even advanced dental infections. Sometimes, however, an inflammation has penetrated so deeply into the root that a normal RCT does not promise success or pain remains after RCT is performed. In this case, the last option is oftentimes to perform an apicectomy (root end surgery). The only alternative in such a situation would be the complete removal of the tooth.

Such an inflammation usually becomes noticeable through tooth aches and extreme responsiveness to pulp sensitivity tests. In the oral surgery clinic Dr. Butz & Partner in Munich, the removal of such a root tip is performed in a small and uncomplicated operation: Under local anaesthesia, an access path is created through the jawbone by our experienced Munich oral surgeons. Using state-of-the-art high-precision instruments, the root is then shortened by a few millimetres. According to necessity and your personal wishes, you can also have your apicectomy performed under sedation or general anaesthesia. However, this is usually not necessary for this simple and common procedure. Consult the experienced team of our oral surgery for advice — the long-term preservation of your health and well-being is our duty. Your oral surgeon for apicectomy Munich.

Procedure of apicectomy Munich

Root end surgery can be used for a multitude of purposes, such as prevention of complicated infections after severe dental trauma or when a root canal is too curved for regular RCT. However, the most common case in which it is necessary is when an independent site of inflammation is located at the tip of a dental root which can or could not be reached during a root canal treatment.

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