Apicoectomy for Persistent Apical Inflammation in Twickenham

Comprehensive Consultation for Apicoectomy

At London Dental Specialists, our apicoectomy consultation begins with a thorough assessment of your persistent apical inflammation. Our expert endodontists will carefully evaluate your condition to determine if an apicoectomy is the most suitable treatment for you.

During this initial consultation, we will:

• Review your dental and medical history, including any previous root canal treatments


• Perform a comprehensive oral examination focusing on the affected tooth and surrounding tissues


• Take detailed digital X-rays and 3D scans to visualise the root structure and extent of inflammation


• Assess the complexity of your case and discuss potential treatment outcomes

Advanced Diagnostic Techniques

Our state-of-the-art facility utilises cutting-edge diagnostic tools to ensure precise assessment:

• Cone Beam Computed Tomography (CBCT) for detailed 3D imaging of root anatomy


• Digital periapical radiographs for high-resolution images of the root tip area


• Intraoral cameras for magnified visual examination

Personalised Treatment Planning

Based on our comprehensive assessment, we will:

• Explain the apicoectomy procedure in detail, including its benefits and potential risks


• Discuss alternative treatment options, if applicable


• Provide a personalised treatment plan tailored to your specific needs


• Outline the expected outcomes and recovery process

Patient Education and Preparation

We believe in empowering our patients with knowledge. During the consultation, we will:

• Address all your questions and concerns about the apicoectomy procedure


• Provide pre-operative instructions to ensure optimal preparation for the surgery


• Discuss post-operative care and what to expect during the healing process


• Explain the importance of follow-up appointments for monitoring your recovery

Commitment to Patient Comfort

At London Dental Specialists, we prioritise your comfort and well-being. Our consultation process includes:

• A relaxed and welcoming environment to ease any anxiety


• Discussion of sedation options for patients with dental phobia


• Transparent communication about treatment costs and payment options


• Flexibility in scheduling your apicoectomy at a time convenient for you

Our apicoectomy consultation and assessment process ensures that you receive the most appropriate and effective treatment for your persistent apical inflammation, setting the foundation for successful outcomes and improved oral health.

Personalised Apicoectomy Treatment Plan

At London Dental Specialists, we develop a customised treatment plan for your apicoectomy to address persistent apical inflammation. Our expert endodontists tailor the approach to your specific needs, ensuring the best possible outcome.

Comprehensive Treatment Planning

• Detailed case analysis based on diagnostic imaging and clinical examination


• Selection of appropriate surgical techniques for your unique root anatomy


• Determination of optimal root-end filling material, such as Mineral Trioxide Aggregate (MTA)


• Assessment of need for bone grafting or regenerative procedures

Advanced Surgical Approach

Our treatment plan incorporates state-of-the-art microsurgical techniques:

• Use of surgical microscopes for enhanced precision and visibility


• Ultrasonic instruments for minimally invasive root-end preparation


• Piezoelectric devices for gentle and accurate bone removal


• Biocompatible root-end filling materials to promote healing

Personalised Anaesthesia and Sedation Options

We prioritise your comfort throughout the procedure:

• Local anaesthesia tailored to your individual needs


• Sedation options for anxious patients or complex cases


• Pre-operative medication to manage inflammation and discomfort

Detailed Procedural Timeline

Post-Operative Care Plan

Your treatment plan includes comprehensive post-operative care:

• Detailed aftercare instructions for optimal healing


• Prescription of appropriate medications for pain management and infection prevention


• Scheduled follow-up appointments to monitor healing progress


• Guidance on oral hygiene during the recovery period

Long-Term Success Strategy

We focus on ensuring the long-term success of your apicoectomy:

• Regular check-ups to assess the treated area


• Periodic radiographic evaluations to confirm bone healing


• Recommendations for maintaining overall oral health


• Prompt addressing of any concerns during the healing process

At London Dental Specialists, our apicoectomy treatment plan is designed to provide you with the highest standard of care, ensuring the best possible outcome for your persistent apical inflammation.

Apicoectomy for Persistent Apical Inflammation Treatment Procedures

At London Dental Specialists, our apicoectomy procedure is a precise microsurgical technique designed to treat persistent apical inflammation when conventional root canal therapy has not been successful. Our expert endodontists utilise state-of-the-art equipment and advanced techniques to ensure optimal outcomes for our patients.

Pre-Operative Preparation

• Local anaesthesia administration for your comfort


• Surgical site preparation and sterilisation


• Final review of 3D imaging to guide the procedure

Surgical Access and Root-End Resection

Our specialists will:

• Create a small incision in the gum tissue to access the root tip


• Gently retract the gum tissue to expose the underlying bone


• Remove a small portion of bone to reveal the root end


• Precisely resect 3-4mm of the root tip using microsurgical instruments


• Remove any infected tissue surrounding the root end

Root-End Preparation and Filling

Using advanced microsurgical techniques, we will:

• Prepare a small cavity at the end of the root using ultrasonic instruments


• Thoroughly clean and shape the cavity to receive the filling material


• Place biocompatible filling material, such as Mineral Trioxide Aggregate (MTA), to seal the root end


• Ensure a tight seal to prevent future bacterial infiltration

Surgical Site Closure

To promote optimal healing, we will:

• Carefully reposition the gum tissue


• Place fine sutures to secure the gum flap


• Apply a protective dressing if necessary

Immediate Post-Operative Care

Following the procedure, our team will:

• Provide detailed post-operative instructions


• Prescribe appropriate medications for pain management and infection prevention


• Schedule your follow-up appointment

Advanced Technology for Precision and Comfort

Our apicoectomy procedures benefit from:

• Surgical microscopes for enhanced visualisation and precision


• Piezoelectric devices for gentle bone removal


• Digital radiography for immediate assessment during the procedure

At London Dental Specialists, we are committed to providing the highest standard of care for apicoectomy procedures. Our approach combines surgical expertise with cutting-edge technology to effectively treat persistent apical inflammation and promote long-term oral health.

Post Apicoectomy for Persistent Apical Inflammation Treatment Care

Proper post-operative care is essential for successful healing after an apicoectomy procedure for persistent apical inflammation. At London Dental Specialists, we provide comprehensive aftercare guidance to ensure optimal recovery and long-term treatment success.

Immediate Aftercare (First 24-48 Hours)

• Apply ice packs to the affected area for 20 minutes on, 20 minutes off to reduce swelling


• Take prescribed pain medication and antibiotics exactly as directed


• Rest and avoid strenuous activities for at least 24 hours


• Maintain a soft food diet and avoid chewing on the treated side


• Avoid smoking, alcohol consumption, and hot beverages as these can impair healing

Oral Hygiene Protocol

Maintaining proper oral hygiene is crucial while protecting the surgical site:

• Gentle brushing of teeth, avoiding the surgical area for the first 24 hours


• Rinse with prescribed antimicrobial mouthwash or warm salt water (after 24 hours)


• Avoid vigorous rinsing or spitting to prevent dislodging the blood clot


• Resume normal but careful brushing after 48 hours, being gentle around the surgical site

Managing Common Post-Operative Symptoms

Understanding what to expect during recovery helps alleviate concerns:

• Mild to moderate discomfort is normal for 2-3 days and can be managed with prescribed medication


• Swelling typically peaks at 48-72 hours and gradually subsides


• Minor bleeding or oozing may occur for the first 24 hours


• Temporary numbness in the area due to local anaesthesia will resolve within hours

Follow-Up Appointments

Our structured follow-up schedule ensures proper healing:

• First review appointment at 7-10 days for suture removal and initial healing assessment


• Second follow-up at 1 month to evaluate tissue healing and early bone regeneration


• Final assessment at 6 months with radiographic examination to confirm complete healing

When to Contact Us

We encourage you to contact our clinic immediately if you experience:

• Severe pain not controlled by prescribed medication


• Excessive bleeding that doesn't subside with pressure


• Significant swelling that worsens after 72 hours


• Signs of infection such as fever, pus discharge, or foul taste


• Allergic reactions to prescribed medications

Long-Term Care for Optimal Results

To ensure the long-term success of your apicoectomy:

• Maintain excellent oral hygiene practices


• Attend regular dental check-ups every 6 months


• Complete periodic radiographic evaluations to monitor bone healing


• Address any concerns promptly to prevent complications

At London Dental Specialists, our commitment to your care extends well beyond the apicoectomy procedure itself. Our comprehensive post-treatment care ensures you achieve optimal healing and resolution of your persistent apical inflammation.