Radiectomy

What is Radiectomy?

The modern dentistry has integrated advanced technology, medicine and science. An old and gentle procedure was resection of the tooth root which was designed to save the tooth and fight various kinds of manifestation of the infectious and periodontal diseases.

Radiectomy is a procedure that fights an infection penetrating at the bottom of the root in the form of a granulomas, cyst and periodontitis. Apikoektomiya is a quite painful process which is performed under local anesthesia. It removes a layer of the gum to reach the location of the infection. The root of the apex is cut off and sutured which promote healing of the soft tissues. However, the infectious disease is a locked channel inflammatory lesion, so further treatment is not possible. Therefore, radiectomy is the only method which can prevent the new development of the infection.

Uses

  • Apex injury which is a result of boron
  • Presence of periodontitis involves the presence of inflammation, infection and cyst on the upper part of the root
  • Removal of pus from the bone structures of boron can be treated with osteomyelitis
  • Treatment of endotologicheskogo narrowed channel and deformed has side effect of fracture occurred broach, boron in the root canal

Contraindications

  • Root too agile
  • Pathology roots
  • Disruption of the heart
  • Viral infection and acute infectious disease
  • Aggravation of periodontitis
  • Root cracks in the tooth
  • Periodontal illness at advanced stage
  • Tooth crown destruction
  • No prospects of the future prosthetics

Preparing for Surgery

Use sanitizer to clean the teeth and reduce the complications before surgery. This needs to be done for one or two days before the treatment to the open access to channels through titanium-boron or steel. Then the channels are sealed with Celler (phosphate cement) or using pins. The phase of expansion is carried out with disinfection, file and is filled with liquid glue so that it penetrates at the top of the tooth root and then a permanent filling or crown is established.

Anesthesia

The process of Radiectomy is painless as it is done under local anesthesia. During the interference in the maxilla, an analgesic infiltration anesthesia is used that provides a stable and lasting effect and penetrates deep enough to reach the soft tissue of the gums. An anesthetic drug named ‘articaine’ and ‘lidocaine’ is used. Anesthesia is given by injecting a syringe into the submucosa zone. It affects the nerve ending gum fibers and penetrates into the bone tissue and affects the whitening gum. Regional anesthesia is used during the operation of lower jaw near the nerve.

Technique 

The Radiectomy operation starts with an arc-shaped incision in the gum available from the periosteum and bone. Sawing holes are conducted at the base of the root. The cannel formed by the apex is removed with the help of the forceps and the cavity is washed with a disinfectant solution. To keep the continuation of the regenerative process, the extra space is filled with a synthetic bone.

Wound Closure

The procedure ends with sutures which carry mucous- membrane bone to ensure the outflow of ichor between sutures mounted drainage made by rubber glove. The final step is a superimposition of a pressure bandage on the upper and lower lips for 12 hours. To reduce the risk of hematoma, application of ice can be reliving.

Rehabilitation & Restoration after Resection of the apex

During rehabilitation, if the pain is more, then the patient is prescribed preparations containing analgesics which help in reducing the discomfort levels. To prevent infectious disease, antibiotics and antiseptic mouthwash are required. Moreover, anti-inflammatory and pain medication is required to improve tissues. During the recovery period, doctors may ask the patient to exclude steam bath, physical exercise, exposure to cold, saunas, too hot or cold food, garlic, spicy dishes and alcoholic beverages, aggressive mouthwashes and toothpaste. When the analgesics are in the process of disappear4ing, it may cause swelling and pain for about two days. After a month of surgery, doctors may prescribe an x-ray to check the recurrence and evaluation of the effectiveness of the process. During a period of 10-15 weeks, a person would be advised not to eat sold substances like nuts or roasted nuts.

Effects & Complications

Radiectomy is a complicated process that requires experience and knowledge. If the performance of the radiectomy is abysmal, then the following complications can occur:

  • Re-growth of the cyst if the wound cavity is not entirely sanitized
  • Damage to the maxillary sinus during surgery due to peculiarities of the anatomical structure of facial skeleton and bones in which the upper teeth are in high relation to the maxillary sinus
  • Bleeding due to the damage to integrity of blood vessels
  • Damage to the trigeminal nerve which causes pain
  • Infectious disease of the wound

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