Periapical periodontitis treatment in Varna
Medically reviewed by Dr. Iva Yordanova, specialist in prosthodontics ·
Periapical periodontitis is an infection of the tissues around the tip of the tooth root – often the result of untreated pulpitis or an old, leaking root filling. It may develop silently or cause pain when chewing, but in either case timely endodontic treatment saves the tooth.
Symptoms of periapical periodontitis
Book an examination if you notice any of these signs:
- Pain when chewing or when the tooth is tapped
- A feeling that the tooth has “grown”
- Swelling, redness or a fistula on the gum
- Darkening of the tooth
- A chance X-ray finding with no symptoms
How do we treat it?
Treatment involves precise cleaning and disinfection of the root canals, if needed medication with calcium hydroxide between visits, and a tight final filling. The bone around the root heals gradually, which we monitor on X-rays.
Can the tooth be saved?
In most cases – yes. Even with chronic inflammation going back years, modern endodontics achieves excellent results. If it does not respond, we use apical surgery as a last step before extraction.
Frequently Asked Questions
Is periapical periodontitis dangerous for my general health?
Yes – a chronic infection is a constant source of bacteria that strains the immune system and can aggravate other conditions. That is why treatment should not be postponed.
How long does treatment take?
From 2 to several visits depending on severity. With medication between visits, 1–2 weeks pass between appointments.
Why does my tooth hurt when it was treated years ago?
Old root canal treatments can become reinfected through a leaking filling or a missed canal. In that case root canal retreatment is carried out.