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surgery."}}],"indications":["Persistent periapical infection or lesion after adequate root canal treatment","Failed root canal retreatment or when retreatment is not feasible","Tooth with post/crown or calcified canals where orthograde access is impractical","Need for biopsy of a periapical lesion","Suspected apical anatomical complications such as perforation or 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":null,"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":null,"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":"Single surgical visit for one tooth; stay 3-7 days until suture removal. Healing review at 6-12 months is done at home."}}},"hrefLanguages":[{"rel":"alternate","hreflang":"ru","language":"ru","href":"https://ru.bookimed.com/clinics/procedure=apikoektomia/page=18/"}],"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":55},"manualSeo":[],"updatedAt":"2026-10-23T04:20:07.466Z","activeCountries":["TR","TH","KR"],"hasVideoReviewsByContext":true,"hasCriticalApiFallback":false}