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 DEFINITION
It is a surgical procedure by which the resection of the portion is realized apical of the conduit radicular of a tooth. Nevertheless, under this generic term there gathers together the whole series of surgical procedures related to the endodoncia.
The surgery endodóntica presents the following general indications:
- when there exists a defeat of not surgical treatment and the retreatment is impossible or does not predict a better result,
- when it is necessary to realize a biopsy,
- when an anatomical complexity exists,
- when anomalies exist in the opening, preparation and obstruction of the conduit,
- when the access to the conduits is obstructed,
- when a break exists radicular,
- when an exploratory surgery is needed to obtain information necessary for the diagnosis.
SYMPTOMS
The persistence of inflammation and infection in the periápice of a tooth, associated with a radiological image of rarefaction, after the achievement of a treatment endodóntico correct.
SKILL
The suitable position of the patient and of the professional, the use of a correct skill and a few measurements of asepsis are essential norms for the success of the apicectomía. A previous history and exploration, as well as the achievement of a radiology they are also essential.
The skill must be realized of a ruled form and understands: correct anesthesia, incision, despegamiento of the tatter mucoperiostico, ostectomía, scraped periapical, radicular resection, preparation and retrograde obstruction, reapproach, suture and postoperative care. The material gathered in the injury must be analyzed histologically in all the cases. The achievement of a postsurgical radiography serves to value the result.
COMPLICATIONS
The postoperative complications are infrequent. It is possible to produce: bled, infection, inflammation, pain, bleaching of the textiles and simple-minded healing. There must be realized a monitoring of the X-ray image.
WHAT DOCTOR CAN TREAT ME?
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DEFINITION 
