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Root Canal Treatment & Apicectomy

Below you can see images of Root canal treatment, Apicectomy and Cyst enucleation carried out by us for a patient who presented with a failed root canal filling

Please note the photos below contain images of blood and surgery, so please change the page if you don’t wish to see such images.

Before After Root Canal Treatment/ Apicectomy - Upper lateral incisor pain

This patient presented complaining of pain from a discoloured upper right lateral incisor.

Before After Root Canal Treatment/ Apicectomy -  Root Canal/ Apical Cyst X-ray

X-ray taken showed failed root canal treatment and a large apical cyst around the tooth apex.

Before After Root Canal Treatment/ Apicectomy - Retreated root canal packet root filling

We first retreated the root canal and placed a new well packed root filling. This ensures that the inside of the root canal is clean.

Before After Root Canal Treatment/ Apicectomy - Accessing cyst by raising gum flap

We then raised a gum flap to have access to the cyst inside the bone at the end of the tooth root.

Before After Root Canal Treatment/ Apicectomy - Visible root apex after removing bone

You can now see the root apex once the bone around it is removed.

Before After Root Canal Treatment/ Apicectomy - Removing cyst around root

Here you can see the cyst being removed from around the root.

Before After Root Canal Treatment/ Apicectomy - Bone loss caused by cyst

You Can now see the extent of bone loss caused by the cyst.

Before After Root Canal Treatment/ Apicectomy - Root apex removal

The very apex of the root is then removed.

Before After Root Canal Treatment/ Apicectomy - Sealing the root by MTA root filling

End of root MTA root filling material was placed to seal the very end of the root.

Before After Root Canal Treatment/ Apicectomy - Filling bony cavity by the cyst

We placed bovine derived bone graft material known as (Bio-Oss) to fill in the bony cavity created by the cyst.

Before After Root Canal Treatment/ Apicectomy - Closing gum flap by restorable sutures

The gum flap was then closed with restorbable sutures.

Before After Root Canal Treatment/ Apicectomy - Root filling, apicectomy, bone craft X-ray

The X-ray taken at the end shows the root filling, Apicectomy and bone graft.

As you can see from the above case, its important not to allow a cyst to expand and damage more bone. If a root filling has failed, prompt treatment is critical in order to prevent cyst formation and bone loss.

Root Canal Treatment

Before After Root Canal Treatment - Decayed tooth X-ray

This patient presented with grossly decayed tooth with buccal cervical decay extending below the bone level.

Such deep decay would pose a serious problem for any dentist wishing to restore this tooth.

Before After Root Canal Treatment - Decayed tooth X-ray

We Initially thought about extracting this tooth and placing an Implant.

However due to medical problems, this patient only has 60% bone density.

Also this tooth was her only lower right molar tooth still present in her mouth.

Extracting this tooth would have left this patient with no posterior bite on that side.

Before After Root Canal Treatment - Decayed tooth filled/ crowned

So we root filled and crowned the tooth in order to save this tooth.

Note how deep the crown margin extends well below the bone level.

You can see a well packed root filling and a very good crown margin.

Before After Root Canal Treatment - Pain free visible crown

This is the crown visible in the mouth.

She did not suffer any pain during the procedure.

Failed Molar Root Canal Treatment

Before After Failed Molar Root Canal Treatment - Failed tooth root filling

This patient presented with pain from his lower 1st molar.

The tooth had been root filled a few years ago but the root filling had failed.

Before After Failed Molar Root Canal Treatment - Rubber dam isolation canal treatment

We did a re-root canal treatment with strict rubber dam isolation for a sterile field.

The canal lengths were measured with X-ray.

Before After Failed Molar Root Canal Treatment -  Re-root filling after copious irrigation/ cleaning

The tooth was re-root filled after copious irrigation and cleaning.

As root canal treatment makes the tooth more brittle, this tooth will need a crown to prevent fracture of the tooth.

Our dentists have the skills and experience in performing complex surgical procedures such as Apicectomies and root canal treatments and our Specialist Oral Surgeons (Dr. Dejan Dragisic and Dr. Hassan Taqvi) are both on the General Dental Council’s specialist list for Oral Surgery.

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