崇愛牙醫診所(資料重建中,歡迎新舊朋友)

Apicoectomy (L.
apex, apicis: a summit or a tip), also known as
root-end resection, is an endodonticsurgical procedure whereby a tooth's root tip is removed. This is generally
necessitated when an abscess forms following root canal therapy or re-treatment

(根尖切除術,也可以稱為牙根尖末端切除術,是一項齒內治療上的外科處理過程,牙根的尖端部通常會被除去,這都是把發炎而產生膿包的區域一併摘除)

膿包的定義如下:

A dental abscess that occurs at the end of a root, caused by tooth decay which invades the pulp chamber of the tooth

Following Surgical
Endodontics (Apicoectomy):

1. Do not lift or pull on lips. This may cause tearing out of the sutures.
2. Some swelling and discoloration is normal and will gradually disappear.
3. To minimize swelling, use ice pack application on the face, overthe operated area. The pack should be used - on for 20 minutes, off for 10 minutes - and should be continued during the first day only.
4. Starting tomorrow, rinse with warm salt water (one teaspoon to 8 oz.
   of warm water), as often as possible. Continue this rinsing for one week.
   
5. Eat foods that will be nourishing
   but will not require vigorous chewing the first few days, i.e., eggs, soups,
   milk shakes, etc.
6. Slight bleeding, pain or swelling,
   during the first couple of days, is normal.
7. Brush your teeth, being extremely
   careful in the operated area. Mouthwash may be
   used.
8. For pain -
   ibuprofen is recommended. Follow the instruction of the your doctor
   concerning your medication(s).
9. If there is an elevated
   temperature, excessive bleeding, swelling or uncontrolled discomfort, please
   call the office.
10. There will be
    at least two follow-up appointments. The first follow-up will be in a few
    days to have your sutures removed. The second appointment will be after a few
    weeks, so that we may evaluate the soft tissue (gum) healing. Additional
    follow-up appointments may be necessary.
11. We routinely like to perform a
    follow-up exam at least six months after the
    treatment. We want to evaluate the treatment outcome, be sure that you have
    regained normal function with the tooth, and determine the presence of bone
    healing. There is no charge for this visit.
    

apicoectomy

下顎前牙的apicoectomy

小臼齒(premolar)的apicoectomy

apicoectomy & retrofill(用endodontic microsocpe照相出來的根尖逆充填照片)

Orthodontic Treatment of an Impacted Dilacerated Maxillary Central Incisor Combined with Surgical Exposure and Apicoectomy

apicoectomy的影片介紹(video)

圖解apicoectomy(照片有點血腥,不習慣者勿入)

apicoectomy圖片

apicoectomy case report

root canal treatment

biolase圖解apicoectomy

The changing role of the apicectomy operation in dentistry

bio-oss bone graft