What is an apical curettage?

Apical curettage with apicoectomy is a component of many endodontic surgical procedures. It purports the aim of removing any contents present inside the surgical cavity, such as granulation tissue, cystic membrane remnants, or foreign bodies, as well as removing the involved dental apex.

What is apical region of the tooth?

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’s apex—whereby an artery, vein, and nerve enter the tooth and commingle with the tooth’s internal soft tissue, called pulp.

What is the significance of Apical Delta?

The apical delta is an intricate system of spaces within the root canal that allows free passage of blood vessels and nerves from the periapical compartment to the pulp tissue1,2.

What is the difference between a root canal and an apicoectomy?

While root canal treatment takes place on the crown of the tooth (the part above the gum that we chew with) an apicoectomy takes place on the root of the tooth. The infected tissue is accessed via the root tip, also called the apex, of the tooth, and a filling is then placed to seal the end of the root.

When is apicoectomy indicated?

It is most useful in cases where fractures or hidden canals still cause pain or infection around a treated tooth, as well as when an endodontic retreatment procedure is not recommended as it will further weaken and jeopardize the tooth. An apicoectomy may be performed under local anesthesia.

What is the apical foramen in dentistry?

Your tooth is filled with soft tissue called pulp that contains blood vessels and nerves. This pulp goes down through the canal of your teeth’ ends and exits at the end of the root, known as the root apex. Where the end of the tooth opens for the pulp to exit is known as your apical foramen.

What is smear layer endodontic?

Abstract. When the root canals are instrumented during endodontic therapy, a layer of material composed of dentine, remnants of pulp tissue and odontoblastic processes, and sometimes bacteria, is always formed on the canal walls. This layer has been called the smear layer.

Can an apicoectomy fail?

Failure. An apicoectomy is considered a failure if it fails to relieve symptoms or doesn’t heal properly. This is rare, especially if your dentist or endodontist is experienced with this procedure. One 2011 study showed that the main cause of apical surgery failure is a gap in the filling at the end of the root.

What does ramification mean in medical terms?

Medical Definition of ramification. 1 : the act or process of branching specifically : the mode of arrangement of branches. 2 : a branch or offshoot from a main stock or channel the ramification of an artery also : the resulting branched structure make visible the whole ramification of the dendrite. Keep scrolling for more.

What is the meaning of apical?

1 : of, relating to, or situated at an apex. 2 : of, relating to, or formed with the tip of the tongue n, l, and r are apical consonants.

What is the difference between ramification and bifurcation?

ramification – a part of a forked or branching shape; “he broke off one of the branches”. branch, leg. subfigure – a figure that is a part of another figure. forking, furcation – the place where something divides into branches. bifurcation – a bifurcating branch (one or both of them)

What is an apical consonant?

Definition of apical 1 : of, relating to, or situated at an apex 2 : of, relating to, or formed with the tip of the tongue n, l, and r are apical consonants