How to treat apical abscess? Is root canal treatment effective?

Apical swelling, also known as apical cyst, is a type of oral disease. As the saying goes, diseases come from the mouth, and the oral cavity is particularly important to our physical health. If we do not pay attention to oral health care in daily life, it is very likely to cause greater diseases. The most commonly used treatment for apical swelling in medicine is root canal treatment.

1: The effectiveness of root canal treatment still needs time to prove. You can't just look at the problem quietly. You need to judge based on the comparison of photos before and after treatment. If the lesion is smaller than before treatment, it means it is getting better. Clinically, it is common to conduct reexaminations 3 months, 6 months, one year, and two years after root canal treatment to observe the effectiveness. The specific efficacy judgment criteria can be found in the textbook of endodontics.

2: In addition, when facing a tooth with apical radiolucency but no clinical symptoms, whether root canal retreatment is needed should be decided based on the next restoration plan and the patient's subjective wishes, such as whether to continue observation or immediately retreat.

3: Some teeth that were plasticized or plasticized + root filling many years ago show incomplete root filling and translucent areas at the root apex on the X-ray, but there are no clinical symptoms and no need for fixed restoration at present. In that case, you can leave it alone for now and check the X-rays regularly. Many apical lesions of teeth will undergo fibrous healing after plasticization. At this time, although there are translucent areas, there is no inflammation and no further treatment is needed. When the tooth needs fixed restoration, it is best to open and explore the plasticization effect. If the effect is not good, re-treat and check regularly to make sure that the lesion is improving before proceeding to the next step of restoration.

1: Endodontic disease can be treated according to the degree of pulp damage. Generally, it is impossible to make an accurate histopathological diagnosis of pulp changes in clinical practice. Instead, two different treatment methods are selected based on clinical manifestations and clinical diagnosis:

2: Diagnose whether the pulp disease is localized or reversible, and choose a treatment method aimed at preserving the vital pulp, such as direct pulp capping, indirect pulp capping, and pulpotomy.

3: Choose a treatment method that aims to remove the pulp and preserve the affected tooth, such as root canal therapy, pulp plasticization therapy, etc. Root canal therapy can be chosen as the treatment method for periapical periodontitis.

, so we need to treat this symptom in time. No matter what decision the doctor makes during treatment, he must explain the risks of the treatment to the patient, let him understand the treatment plan, and give informed consent.