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The root canal filling material (3, 4, and 10) does not extend to the end of the tooth roots (5, 6 and 11). The dark circles at the bottom of the tooth roots (7 and 8) indicated infection in the surrounding bone. Recommended treatment is either to redo the root canal therapy or extract the tooth and place dental implants.
A root end surgery, also known as apicoectomy (apico-+ -ectomy), apicectomy (apic-+ -ectomy), retrograde root canal treatment (c.f. orthograde root canal treatment) or root-end filling, is an endodontic surgical procedure whereby a tooth's root tip is removed and a root end cavity is prepared and filled with a biocompatible material.
Apicoectomy is the surgical removal of tooth's root tip. Appendectomy is the surgical removal of the appendix; it is also known as an appendicectomy. Arthrectomy is the removal of a joint of the body. Atherectomy is a removal of atherosclerosis. Auriculectomy is the removal of the ear.
The tooth of choice to replace a tooth missing in the anterior maxillary region is the maxillary second premolars. Poor prognosis first permanent molars can be replaced with third molars; Autotransplantation has the best outcome in growing patients with some root development complete but incomplete development at the apex.
Implants preserve the integrity of the teeth adjacent to the edentulous area, and it has been shown that dental implant therapy is less costly and more efficient over time than tooth-supported FPDs for the replacement of one missing tooth. The major disadvantage of dental implant surgery is the need for a surgical procedure. [17]
A root canal is the naturally occurring anatomic space within the root of a tooth. It consists of the pulp chamber (within the coronal part of the tooth), the main canal(s), and more intricate anatomical branches that may connect the root canals to each other or to the surface of the root.
Not only does endodontics involve treatment when a dental pulp is present, but also includes preserving teeth which have failed to respond to non-surgical endodontic treatment, or for teeth that have developed new lesions, e.g., when root canal re-treatment is required, or periradicular surgery.
Oral and maxillofacial surgery requires an extensive 4-6 year surgical residency training covering the U.S. specialty's scope of practice: surgery of the oral cavity, dental implant surgery, dentoalveolar surgery, surgery of the temporomandibular joint, general surgery, reconstructive surgery of the face, head and neck, mouth, and jaws, facial ...