Dental Code D3426: Apicoectomy (each additional root)

Dental procedures can be complex, and specific codes are used to accurately communicate and bill for these procedures. In this article, we will focus on Dental Code D3426, which refers to the apicoectomy procedure for each additional root. An apicoectomy is a surgical dental procedure performed to treat persistent infections or problems in the root tip (apex) of a tooth. We will delve into the details of this procedure, explaining each step involved, its purpose, and the potential benefits it offers.

On average, patients pay $400 for this D3426 service at the dentist's office, with as little as $200 charged for this in less expensive cities and as much as $600 in more expensive cities.

Low cost of living	Medium cost of living	High cost of living
Memphis (Tennessee), Cincinnati (Ohio)	Miami (Florida), Denver (Colorado), Austin (Texas)	(New York (New York), San Francisco (California)
$200	$400	$600

However, the price for the service D3426 depends not only on the region where you live, but also varies from dentist to dentist. Therefore, it makes sense to compare prices before choosing a dentist. The best way to do this price comparison is at Dr. BestPrice and save a lot of money. 

Dental Code D3426 specifically refers to the apicoectomy procedure, which is performed when a root canal treatment has not resolved an infection or problem in the root of a tooth. An apicoectomy, also known as root-end resection, is typically recommended when inflammation or infection persists in the area surrounding the root tip, and it involves the removal of the infected tissue and the tip of the root, followed by a sealing of the root end to prevent further infection.

Before proceeding with an apicoectomy, your dentist or endodontist will conduct a comprehensive examination. This examination may include X-rays or other imaging techniques to visualize the root structure and assess the extent of the problem. The dentist will also review your dental history and symptoms to determine whether an apicoectomy is the most appropriate treatment option.

To ensure a painless and comfortable experience, local anesthesia will be administered to numb the area where the apicoectomy will be performed. Your dentist will use a small needle to inject the anesthesia near the affected tooth. The anesthesia blocks the transmission of pain signals, allowing you to remain comfortable throughout the procedure.

Once the area is numbed, a small incision is made in the gum tissue near the tooth, providing access to the root canal system. The dentist will gently lift the gum tissue to expose the underlying bone and root structure. In some cases, a small bone window may be created to enhance visibility and facilitate the procedure.

Using specialized instruments, such as ultrasonic tips or microsurgical instruments, the dentist will carefully remove the infected tissue surrounding the root tip, as well as the tip of the root itself. This process helps eliminate the source of the infection and prevents its recurrence. The dentist will also thoroughly clean the area to ensure the removal of any remaining infected tissue or debris.

After the removal of the infected tissue and root tip, the dentist will clean and shape the remaining part of the root canal system. The root canals are carefully cleaned using small files and irrigation solutions to remove any bacteria, debris, or infected material. This step is essential for ensuring thorough disinfection and promoting healing.

Once the cleaning and shaping process is complete, a biocompatible material, such as mineral trioxide aggregate (MTA) or a dental filling material, is placed at the root end to seal it. This seal prevents any bacteria from re-entering the root canal system and causing reinfection. The dentist will ensure a proper seal to minimize the risk of future complications.

After sealing the root end, the gum tissue is carefully repositioned and sutured back into place. The sutures help hold the tissue in position during the initial healing phase. Depending on the case, dissolvable or non-dissolvable sutures may be used. Over time, the gum tissue will naturally heal, and the sutures will be removed during a follow-up visit.

Dental Code D3426 signifies an apicoectomy procedure performed on each additional root of a tooth. This surgical procedure is recommended when a root canal treatment fails to resolve an infection or problem in the root of a tooth. The steps involved in an apicoectomy include examination and diagnosis, local anesthesia, accessing the root, removal of infected tissue and root tip, cleaning and shaping the root canal, sealing the root end, and suturing for healing. By following these steps, dentists can effectively treat infections and promote long-term oral health.

It is essential to note that every case is unique, and the specifics of the procedure may vary depending on the individual patient and the tooth being treated. If you require an apicoectomy or any dental procedure, it is recommended to consult with a qualified dental professional who can provide personalized advice and treatment based on your specific needs. They will explain the procedure in detail, address any concerns you may have, and guide you through the process to ensure optimal oral health and well-being.

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