Root tip resection on the molar tooth

A root tip resection in the area of the molars can be a great challenge for the dentist or oral surgeon. On the one hand, this surgical measure proves to be difficult, especially in the case of a cheek tooth with crooked roots, and on the other hand, the possibility of opening the maxillary sinus in the area of the upper cheek teeth must be taken into account.

Root tip resection during pregnancy

As a matter of principle, dental interventions should not be performed during pregnancy if possible, as there is always a risk for the expectant mother and the unborn child. The first trimester, the period from the beginning of pregnancy to the third month, is the most dangerous and unstable, as interventions can also result in infant death. The second trimenon, months three to six, is the most stable part of the pregnancy and is the only period in which dental treatment is performed.

These include minor procedures, but not apicoectomy. Although local anesthesia is possible during pregnancy because some anesthetics have a high protein binding rate, which means that the agent cannot reach the unborn child, a surgical procedure is still associated with a risk. For the expectant mother, stress is caused despite the local anesthesia, which is transmitted to the child and can cause premature labor or damage the child. It is therefore advisable to wait until the birth is over to avoid exposing either mother or child to any risk.

Which antibiotic helps best?

In the case of apicoectomy, amoxicillin is usually prescribed, which has been shown to be the most effective in fighting bacteria in the oral cavity. If there is a penicillin allergy, clindamycin is used, which is also proven to be effective. The treatment becomes difficult with resistances against both antibiotics, since to alternative groups of antibiotics must be fallen back, which do not function optimally in the oral cavity.