This question is more than six months old, so the information in the answer may no longer be accurate.
Visitor asks:

Hello,
after 25 years the roots of my upper central and lateral incisors became inflamed. Both have posts. I have already had an apicoectomy on the lateral incisor and my dentist has now suggested it again. However, I am very afraid because at the time both procedures were very painful, even though I was given several injections. It was a long time ago; I was 14 years old. Since then I have had several other dental procedures, but those pains were unbearable even during the procedure itself. I also remember that it was so bad that I almost fainted during the operation. I would like to know whether this procedure is now performed differently, since I have never read that anyone else experienced such severe pain. I gave birth to two children, one without pain medication, and I have to say that this was worse. The procedure was performed in Novo Mesto and I even remember the dentist's name. It seems somewhat inhumane to me, especially because they told me it would not hurt, as they also claim today, but for me it was unbearable. I really want to know whether the procedure is now done differently or whether it depends on the doctor. I was also thinking that I would rather have implants, but my doctor says I should preferably keep the root. What do you think? Thank you very much for your answer. Uršula

Dentist Tomaž Rotar answers:

Dear Sir/Madam!

The procedure you describe is not painful. It is performed under local (terminal infiltration) anesthesia. Pain after the procedure is among the complications and can likewise be alleviated by cooling the surgical area after the procedure, taking analgesics and, in the event of wound infection, taking systemic antibiotics. If an apicoectomy can still be performed with a good prognosis and for a well-founded reason, I certainly recommend it. Otherwise, an implant is the best solution for restoring the situation. Implantation is likewise a painless procedure with very few postoperative complications.

Have a nice day!

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