When is a root-apex resection considered a failure?

Not every healing process is the same. Even if the procedure was performed properly, the inflammation may persist or recur.

Possible signs of an unsuccessful treatment include:

  • persistent pain
  • recurring swelling
  • recurrent fistula formation
  • tenderness
  • inflammatory changes visible on X-rays
  • Loosening of the affected tooth

If such symptoms occur, the tooth should be re-examined.

Does the tooth always have to be extracted?

Not necessarily. First, we assess whether the tooth can still be saved. In some cases, a repeat root canal treatment or a revision is possible. However, if the tooth is severely damaged, has a longitudinal crack, or is chronically inflamed, extraction is often the better long-term solution. The goal is to prevent further damage to the jawbone and the adjacent teeth.

When is a dental implant a good option?

A dental implant is particularly appropriate when the affected tooth can no longer be saved and the surrounding structures are generally healthy. The implant replaces the natural tooth root and subsequently provides a stable foundation for a crown. At the same time, chewing function is preserved, and in many cases, adjacent teeth do not need to be ground down.

Many patients also benefit from the fact that an implant continues to place stress on the jawbone, thereby helping to prevent further bone loss.

Is a healing period required after tooth extraction?

Whether the implant can be placed immediately or only after a healing period depends on the individual situation. If there is still active inflammation, the dentist will wait until it has completely healed. The treating dentist then assesses whether there is sufficient healthy bone available for implantation. In certain cases, immediate implantation may also be possible . However, this requires optimal anatomical conditions.

Is bone grafting necessary?

Long-standing inflammation can damage the surrounding jawbone. If the available bone is no longer sufficient, a bone graft may be required before or during implantation. Modern procedures often make it possible to specifically rebuild the bone, thereby creating a stable foundation for the implant.

Whether bone grafting is necessary is determined based on the clinical examination and three-dimensional imaging.

How is the implant procedure planned?

A comprehensive diagnostic evaluation is performed prior to treatment. In addition to examining the gums, the condition of the jawbone is assessed in particular. Modern digital X-ray techniques allow for three-dimensional planning of the implant’s position. This ensures that the implant is placed as precisely as possible and optimally adapted to the future dental crown. Careful planning is crucial for achieving stable and functional results in the long term.

What are the chances of success?

Dental implants are among the most successful procedures in modern dentistry today. If the inflammation has been completely eliminated and there is sufficient healthy bone, the chances of success are very good in many cases. Regular checkups, careful oral hygiene, and professional dental cleanings also help keep the implant healthy over the long term.

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