apical surgery
Dental Procedures
≈ ¥3000-8000
(≈ $420-1150)
1 hr
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Description
Estimated cost for apical surgery at general public hospitals in China is about ¥2100-6400, and at Grade 3A hospitals about ¥3000-8000, varying by hospital tier and region.
Main Uses
Microsurgical apical surgery is primarily used to treat persistent apical periodontitis after nonsurgical root canal treatment has failed; manage complex anatomical cases (e.g., calcified canals, separated instruments, apical fractures); address apical cysts or granulomas refractory to conventional therapy; perform intentional replantation or root-end resection in select trauma cases; and obtain biopsy specimens for definitive diagnosis of periapical lesions.
Normal Range
Microsurgical apical surgery is a surgical procedure, not a laboratory test with numerical values; therefore, there is no 'normal range' of quantitative indicators. Success is assessed qualitatively via clinical and radiographic criteria: absence of symptoms (e.g., pain, swelling), complete resolution of periapical radiolucency on follow-up radiographs (typically at 6–12 months), intact apical seal, and healthy periapical tissues histologically.
Low Values - Possible Causes
N/A — This is not a quantitative diagnostic test; 'low values' do not apply. Clinical failure (e.g., persistent infection, unresolved symptoms) may result from inadequate root-end resection, incomplete retrofilling, undetected accessory canals, poor surgical access, or systemic factors like uncontrolled diabetes or immunosuppression.
High Values - Possible Causes
N/A — This is not a quantitative diagnostic test; 'high values' do not apply. Apparent 'failure' (e.g., persistent radiolucency or symptoms) may stem from technical errors (e.g., over-resection, insufficient retrofill depth), missed anatomy (e.g., isthmus, lateral canals), cystic lesions, foreign body reactions, or preoperative misdiagnosis (e.g., non-endodontic origin like cyst or tumor).