Surgical removal of chronic inflammation (cyst or granuloma) in the root of a tooth
Surgical removal of chronic inflammation (cyst or granuloma) in the root of a tooth when standard endodontictreatment (root canal treatment) is insufficient or impossible—for example, in cases of a broken instrument in the root canal, a severely curved canal, or a perforation.
How it is performed:
1. A small incision in the gum at the site of the affected root.
2. Opening of the bone until the root tip is reached.
3. Removal of 2–3 mm of the root tip along with the inflamed tissue.
4. Filling the bone cavity with bone substitute if necessary.
5. Suturing the gum line.
Result: The tooth remains functional and pain-free, without the need for extraction.
The procedure saves teeth that would otherwise be doomed to extraction.
No. The procedure is performed under local anesthesia, which completely numbs the area. You will only feel slight pressure or vibrations.
It usually lasts between 30 and 60 minutes, depending on the complexity of the tooth.
Surgery is necessary when:
There is a large cyst or granuloma that cannot be treated through the root canal alone.
There is a broken instrument in the root canal or a perforation.
A previous root canal treatment was unsuccessful and the patient has symptoms.
The stitches are usually removed between 7 and 10 days after the surgery.
No. An experienced oral surgeon works with precision, taking the anatomy into account, so that the adjacent teeth remain completely unaffected and stable.
With excellent oral hygiene and a suitable crown, the tooth can function successfully for decades, completely avoiding the need for an implant.&
