Dear Sir/Madam!
I am 29 years old and 4 years ago I had 10 porcelain teeth made. Since then I have started having problems. Every 2 months I would swell up, and fortunately I was accepted by a maxillofacial surgeon who performed about 8 apicoectomies. After the apicoectomies I thought everything would be fine, but it was not. I still get inflammation (usually in autumn) around one tooth on the left side. How can I prevent these problems from recurring? What can happen in the future? I hope the situation is not too serious.
Thank you for your answer.

Dear Sir/Madam!

Apicoectomy has only about 70% reliability. The success of the procedure depends on numerous anatomical and histological factors. According to recent clinical experience, apicoectomy is relatively reliable only after prior revision of the existing root canal filling (prior repeat root canal treatment). In your case I would therefore suggest revision of the filling and repeat apicoectomy, provided the root length and other anatomical factors still allow this. For a more reliable prognosis, I would like to examine your orthopantomogram.

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