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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.
Intraoral X-rays or a 3-D cone beam scan of the affected area can be used to obtain radiological images and confirm diagnosis of cysts in the periapical area. Circular or ovoid radiolucency surrounding the root tip of approximately 1-1.5 cm in diameter is indicative of the presence of a periapical cyst. [2]
Periapical granuloma, [1] also sometimes referred to as a radicular granuloma or apical granuloma, is an inflammation at the tip of a dead (nonvital) tooth. It is a lesion or mass that typically starts out as an epithelial lined cyst, and undergoes an inward curvature that results in inflammation of granulation tissue at the root tips of a dead tooth.
Severe tooth decay or infection (acute or chronic alveolar abscess, such as periapical abscess – collection of infected material [pus] forming at the tip of the root of a tooth). [6] Despite the reduction in worldwide prevalence of dental caries , it is still the most common reason for extraction of (non- third molar ) teeth, accounting for ...
The apex is the tip of the tooth’s root. On the apex, there is an opening called Apical foramen. That is the place where all the blood vessels and nerves come inside the tooth. The apex is located on the tip of the root, or on the pointed end of it. Different teeth have a different number of roots.
In dental anatomy, the apical foramen, literally translated "small opening of the apex," is the tooth's natural opening, found at the root's very tip—that is, the root apex — whereby an artery, vein, and nerve enter the tooth and commingle with the tooth's internal soft tissue, called pulp.
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