Dental practice of aesthetic dentistry - QUEEN

Frequently Asked Questions

On this page you will find the most frequently asked questions from patients. If you need more information, feel free to call us.

ROOT TIP INFECTIONS

The treatment of these infections depends on several factors:
  • the size of the infection;
  • the course of the infection (whether it is acute or chronic)
  • the age of the patient and the possible presence of general diseases.
The first step is usually conservative treatment of the infection (without surgery), especially in the case of chronic infections. This involves “nerve treatment”, i.e. endodontic therapy, which is successful and sufficient in most situations.When endodontic treatment is not possible or is not successful (and sometimes there are objective reasons why it is not successful), surgical intervention is required – apicoectomy or root-end resection.Fortunately, it is very rare for an infection at the root tip to end in tooth extraction.

No, it’s not. Swelling is a normal occurrence after any surgical intervention (apicoectomy, surgical tooth extraction, implant placement, bone grafting) and is a tissue response to trauma. Such swelling is called “cold” swelling, it does not represent an infection, nor does it require treatment. It spontaneously subsides after 4 to 7 days. It is common practice to administer certain medications against swelling before and after surgical intervention, which suppresses it to some extent. You should keep swelling in mind when planning your social activities. But there is no need to worry about this type of swelling because it is health-wise harmless.

Infections at the root apex can occur for various reasons, and they always occur in teeth where the nerve is no longer vital. The most common reason is untreated and deep tooth decay. Often, infections at the root apex occur due to uneven pressure on that tooth during chewing, which is called occlusal trauma. Any other trauma to the tooth can also lead to nerve death and subsequent infection. Inadequate prior nerve treatment (endodontic therapy) can result in an infection at the root apex.

These infections can be acute and manifest as tooth pain on touch or pressure, sometimes with spontaneous pain without pressure. The area of the mucosa in the projection of the root apex is red and sensitive to touch with a finger or tongue. Swelling or fistula (an opening from which pus can drain) may occur.

If the infection at the root apex is chronic, it can go unnoticed without any symptoms, and patients often do not know that it exists and can only be detected accidentally during a dental examination through a dental x-ray analysis.

In both situations, the tooth can darken, which can reliably signal that the nerve in the tooth is no longer vital and that an infection at the root apex may occur.