{"meta":{"humanUrl":"https://ar.bookimed.com/clinics/country=brazil/city=sao-paulo/procedure=apicoectomy/best/","canonicalUrl":"https://ar.bookimed.com/clinics/country=brazil/city=sao-paulo/procedure=apicoectomy/best/","jsonUrl":"https://ar.bookimed.com/clinics/country=brazil/city=sao-paulo/procedure=apicoectomy/best/data.json","title":"Best clinics for استئصال قمة الجذر in البرازيل — Ratings & Reviews | Bookimed","description":"3 top-rated clinics for استئصال قمة الجذر in البرازيل. 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It focuses on aesthetic dentistry, implants, and orthodontics. The team also offers facial harmonization and non-surgical nose modeling. Emergency dental support is available 24 hours a day by appointment.</p><p>Dr. Lara Lavin founded the practice in 1998. She graduated from UMESP and has over 25 years of experience. Her team includes nine doctors across seven specialties. Root canal treatments show success rates between 85% and 97%.</p><p>The clinic holds TEMOS accreditation for international patient care. Diagnostic tools include digital radiography and computerized tomography. Specialists use electronic apex locators and ultrasonic irrigation for endodontic work. International patients can arrange care in English, Spanish, and Portuguese.</p>","text_type":"short_description","reviews":[],"clinic":{"id":8893,"alias":"consultorio-odontologico-dr-lara-lavin","name":"Consultório Odontológico Dr. Lara Lavin","short_description":"<p>Consultório Odontológico Dr. Lara Lavin is a private dental clinic in São Paulo, Brazil. It focuses on aesthetic dentistry, implants, and orthodontics. The team also offers facial harmonization and non-surgical nose modeling. Emergency dental support is available 24 hours a day by appointment.</p><p>Dr. Lara Lavin founded the practice in 1998. She graduated from UMESP and has over 25 years of experience. Her team includes nine doctors across seven specialties. Root canal treatments show success rates between 85% and 97%.</p><p>The clinic holds TEMOS accreditation for international patient care. Diagnostic tools include digital radiography and computerized tomography. Specialists use electronic apex locators and ultrasonic irrigation for endodontic work. 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The center treats children and adults. Specialties include orthodontics, implants, and periodontics. Dr. Eliana Akemi Miadaira founded the clinic in 2002. A team of over 20 specialists treats around 20,000 patients each year. Doctors hold advanced degrees from top schools like USP and Unicamp. The clinic has TEMOS accreditation for medical tourism quality.</p><p>Staff use intraoral 3D scanning and computerized anesthesia for patient comfort. Implant planning follows a digital workflow with 3D software. For complex cases, the clinic offers intravenous sedation and nitrous oxide. A dedicated Day Clinic model gives international visitors faster treatment. Patients from abroad can access English-speaking doctors and virtual pre-consultations.</p>","text_type":"short_description","reviews":[],"clinic":{"id":8906,"alias":"portal-do-sorriso","name":"Portal do Sorriso","short_description":"<p>Portal do Sorriso is a private dental clinic in Pinheiros, São Paulo, Brazil. The center treats children and adults. Specialties include orthodontics, implants, and periodontics. Dr. Eliana Akemi Miadaira founded the clinic in 2002. A team of over 20 specialists treats around 20,000 patients each year. Doctors hold advanced degrees from top schools like USP and Unicamp. The clinic has TEMOS accreditation for medical tourism quality.</p><p>Staff use intraoral 3D scanning and computerized anesthesia for patient comfort. Implant planning follows a digital workflow with 3D software. For complex cases, the clinic offers intravenous sedation and nitrous oxide. A dedicated Day Clinic model gives international visitors faster treatment. Patients from abroad can access English-speaking doctors and virtual pre-consultations.</p>","images":[{"base_url":"clinic/6ade8e8d2038c","title":"منطقة الاستقبال في عيادة Portal do Sorriso بمقاعد حديثة ونوافذ كبيرة"},{"base_url":"clinic/6ade8e8eb9e4f","title":"غرفة انتظار في عيادة Portal do Sorriso بمقاعد حديثة وإطلالة على المدينة"},{"base_url":"clinic/6ade8e9086426","title":"منطقة الاستقبال في عيادة Portal do Sorriso بمقاعد حديثة ولمسات خشبية"},{"base_url":"clinic/6ade8e926249c","title":"منطقة انتظار في عيادة Portal do Sorriso بمقاعد حديثة وديكور أخضر"}],"flags":[{"name":"is_hide","value":false},{"name":"is_created_by_parser","value":true}],"geo":{"country":{"name":"البرازيل","id":31,"alias":"brazil","iso_code":"BR"},"city":{"name":"São Paulo","id":2519,"alias":"sao-paulo"},"address":"Rua Cristiano Viana, 401. 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Treatment begins with a two-hour consultation covering medical history, sleep, and inflammation. International support is available in English and Portuguese.</p>","text_type":"short_description","reviews":[],"clinic":{"id":8913,"alias":"well-clinic-odontologia","name":"Well Clinic Odontologia","short_description":"<p>Well Clinic Odontologia is a multispecialty dental clinic in Jardim Paulista, São Paulo. It treats adults and children. The clinic is the birthplace of Digital Smile Design (DSD). Dr. Christian Coachman created the DSD system here. The protocol is now used in over 80 countries. The practice reflects six generations of dentists.</p><p>Founded in 1999, Well Clinic runs its own digital lab on-site. The lab uses a full CAD/CAM workflow and intraoral scanning. Dr. Fabiane Pulga is an official Invisalign Speaker and Top Doctor Emerald. The surgical team plans orthognathic surgery digitally. 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surgery."}},{"purpose":"result_review","requirement":"routine","after":{"min":180,"max":365,"unit":"days","qualifier":"Clinical and radiographic healing review from the day of surgery."}}],"indications":["Persistent periapical infection or lesion after adequate root canal treatment","Failed retreatment or retreatment not feasible","Calcified canals or post/crown blocking orthograde access","Need for biopsy of a periapical lesion","Suspected perforation, blocked canal, ledge or separated instrument"],"main_risks":["Postoperative pain, swelling and bruising","Bleeding or infection","Persistent or recurrent infection/failure to heal, possibly requiring extraction","Temporary or rarely permanent numbness (nerve proximity, especially lower molars/premolars)","Sinus communication for upper posterior teeth","Gingival recession or scarring","Root sensitivity"],"pain":"Procedure is done under local anesthesia and is not painful; mild to moderate soreness and swelling for the first 2-3 days, usually controlled with standard analgesics.","preparation":["Clinical exam and periapical radiographs or CBCT to plan surgery","Confirm adequacy of root canal treatment and tooth restorability","Review medical history and medications with the surgeon","Professional dental cleaning and oral hygiene; antiseptic rinse as advised","Arrange for transport and soft food after the procedure"],"recovery_timeline":[{"phase":"First 48 hours","description":"Swelling, mild pain and minor oozing peak; cold compresses and analgesics used.","restrictions":["Avoid brushing the surgical area","Avoid strenuous activity","Eat soft, cool foods","Do not lift the lip to inspect the wound"]},{"phase":"Days 3-7","description":"Swelling and discomfort subside; sutures removed.","restrictions":["Gentle chewing on the opposite side","Antiseptic rinses as advised"]},{"phase":"Weeks 2-4","description":"Soft tissue healing complete; normal oral hygiene resumed.","restrictions":[]},{"phase":"Months 6-12","description":"Bone regeneration at the apex confirmed on radiograph.","restrictions":[]}],"rehabilitation_days":{"min":3,"max":7,"unit":"days","qualifier":"Ordinary functional recovery after one-tooth surgery; no formal rehabilitation program."},"result_longevity":"If healing succeeds and the tooth stays well restored and cleaned, the tooth may be retained for many years, but durability varies with tooth condition and restoration.","revision_rate_pct":{"min":8,"max":20,"unit":"percent","qualifier":"Teeth needing repeat surgery, retreatment or extraction after failed healing within about 1-2 years."},"scars":"Intraoral incision leaves a small mucosal scar that is usually inconspicuous; occasional gum recession or visible scar line in the gingiva, especially in the aesthetic zone.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"One surgical visit for one tooth."},"stages":[{"code":"surgery","label":"Flap, root-end resection, retrograde filling and suturing","after":{"min":0,"max":0,"unit":"days","qualifier":"Single surgical visit."}}],"qualifier":"Routine follow-up (suture removal, healing review) is excluded."},"success":{"metric":"Periapical healing (clinical and radiographic) after microsurgical apicoectomy","value":85,"unit":"percent of treated teeth","horizon":"12 months","population":"Adults with persistent apical periodontitis in restorable, previously root-filled teeth","evidence_status":"proven"},"techniques":[{"name":"Microsurgical apicoectomy (operating microscope, ultrasonic retro-preparation, bioceramic root-end filling)","suits_whom":"Standard modern approach for persistent apical periodontitis in a restorable tooth.","recovery":"Soreness and swelling for several days; sutures out in about 3-7 days."},{"name":"Conventional apicoectomy (bur resection, retrograde filling)","suits_whom":"Used where microscope or ultrasonic tips are unavailable; less precise.","recovery":"Similar to microsurgical, possibly slightly more bone removal and discomfort."}],"treatment_conditions":["outpatient"],"treatment_duration_hours":{"min":0.5,"max":1.5,"unit":"hours","qualifier":"Per single tooth; molars take longer than anterior teeth."},"initial_assessment_documents":["Periapical X-ray of the affected tooth","Panoramic dental X-ray (OPG)","CBCT scan of the affected area (if available)","Previous root canal treatment report","Photos of gum swelling or fistula"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"One surgical visit for one tooth; stay 3-7 days until suture removal. Healing review at 6-12 months at home."}}},"hrefLanguages":[{"rel":"alternate","hreflang":"ru","language":"ru","href":"https://ru.bookimed.com/clinics/country=brazil/city=san-paulu/procedure=apikoektomia/"}],"questionsAndAnswers":[],"seoTests":{"thin_content":false,"no_txt_after_3_clinics":false},"offerFilters":{"offer_count":0,"price_filter":{"from":0,"to":0,"avg":0}},"leadsCount":{"leads_count":54042},"manualSeo":[],"updatedAt":"2026-10-23T04:20:07.466Z","activeCountries":["BR","TR","TH"],"hasVideoReviewsByContext":true,"hasCriticalApiFallback":false}