HomeAnswersDentistryapicoectomyWhy do I have a weird feeling in the apicoectomy site?

I have a weird feeling in the apicoectomy site and pain in the neighboring roots. Please help.

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Answered by

Dr. Bharat Joshi

Medically reviewed by

Dr. Vinodhini J.

Published At November 16, 2020
Reviewed AtDecember 19, 2023

Patient's Query

Hello doctor,

I had an apicoectomy on one of my teeth before few months. Since then, I have a weird feeling around the operation site. None of my teeth hurts, but I always feel this weird sensation around the alveolar mucosa part, like something is on my gum. Sometimes I also feel mild burning from the area, and when I press the neighboring tooth root, the pressure radiates to the end of the tooth. Could the scar cause these weird sensations?

Answered by Dr. Bharat Joshi

Hello,

Welcome to icliniq.com.

Thanks for the pictures (attachment removed to protect patient identity).

Yes, in your x-ray, there is small radiolucency in the treated tooth. But the sensation you are talking about is not related to that.

If you can observe your tooth, this is angled outside. Due to this, the alveolar bone is also angled outside and is a bit more prominent and outside positioned.

This leads to a condition called dehiscence in which bone is more prominent, and there is excessive occlusal load. I suggest you get selective grinding of this tooth and then report me if any improvement is there or not.

The Probable causes

Occlusal load in excess.

Investigations to be done

Already done.

Differential diagnosis

Dehiscence (picture confirming it).

Probable diagnosis

Dehiscence (picture confirming it).

Treatment plan

Selective grinding (take care not to expose pulp).

Preventive measures

Avoid eating from that side.

Regarding follow up

Please go by instructions and then update me. One more thing, there is no relation between gum irritancy or cyst it.

Patient's Query

Thank you doctor,

Does that mean I will lose that tooth? Could the bone loss from apicoectomy cause this effect? I felt nothing before the procedure.

Answered by Dr. Bharat Joshi

Hello,

Welcome back to icliniq.com.

No, your tooth is fine. Just because of increased masticatory load, you feel pain. There is no abnormal bone loss. It is just bone formation in the outer direction.

The Probable causes

Occlusal load.

Differential diagnosis

Dehiscence (picture confirming it).

Probable diagnosis

Dehiscence (picture confirming it).

Treatment plan

Tooth grinding very selectively.

Preventive measures

Avoid eating.

Regarding follow up

It is a normal and common phenomenon. So do not worry.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Bharat Joshi
Dr. Bharat Joshi

Dentistry

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