Braunschweig, Private Lecturer Dr. Dr. Eduard Keese & Braunschweig, Dr. Christa Siemermann-Kaminski

Root resection / apicoectomy

Infectious processes at the jaw bone can be caused by carious teeth or root treatment. At first the pulp necorses and then decays in the tooth. The so caused infection leaves the area of the pulp at the tip of the root and spreads which can be very painful. The patient then complains about "a throbbing pain". At the beginning of the pulp infection a root treatment succeds in avoiding the spread of the infection.

If a chronic infection has been established in the area of the exit of conduit of nerves and has already reached the tip of the root of adjacent bones you can detect it by X-ray in most of the cases. The tip of the root is as well accessible at the upper jaw as at the lower jaw by using a special operative techniques so that a surgical therapy to maintain the tooth can be achieved. Risks and problems of such operative measures have to be considered carefully though. important deciding factors are the preservation of the tooth concerned from medical and prosthetic considerations and also from the aspect of the operative load of the patient and the forecast with regard to the long time preservation of the tooth.