Why would I need Endodontic Surgery?
Generally, a root canal is all that is needed to save teeth with injured pulp from extraction. Occasionally, this non-surgical procedure will not be sufficient to heal the tooth and your endodontist will recommend endodontic surgery. The most commonly performed endodontic microsurgery is apicoectomy, which is indicated when periapical tissue does not heal completely due to a variety of reasons such as inflammatory resorption, cyst formation, bacterial biofilm formation, root canal obstructions and anatomical complexities. Endodontic surgery can be used to locate fractures or hidden abnormalities that do not appear on x-rays but still cause pain in the tooth. Damaged root surfaces or the surrounding bone may also be repaired by endodontic surgery.
What is an Apicoectomy?
The video on the right illustrates this simple procedure. An incision is made in the gum tissue to expose the bone and surrounding inflamed tissue. The damaged tissue is removed along with the end of the root tip. A root-end filling is placed to prevent reinfection of the root and the gum is sutured. The bone naturally heals around the root over a period of months restoring full function.
1. Infected Tissue
2. Tissue Removed
3. Suture Placed
4. Healing Complete
Following the procedure, there may be some discomfort or slight swelling while the incision heals. This is normal for any surgical procedure. To alleviate any discomfort, an appropriate pain medication will be recommended. If you have pain that does not respond to medication, please call our office.