Apicoectomy
Why Would I Need Endodontic Surgery?
In most cases, root canal treatment is all that is needed to save a tooth with an injured or infected pulp. Occasionally, however, nonsurgical treatment alone is not enough to heal the tooth, and your endodontist may recommend endodontic surgery.
Endodontic surgery can help locate hidden canals or fractures that may not be visible on X-rays but are still causing pain. It can also be used to treat damaged root surfaces or the surrounding bone. The most common endodontic surgical procedure is an apicoectomy, also known as a root-end resection.
What Is an Apicoectomy?
An apicoectomy is a minor surgical procedure performed to save a tooth when root canal treatment alone is not enough. During the procedure, a small incision is made in the gum tissue to expose the underlying bone and the inflamed tissue around the root tip. The damaged tissue and the tip of the root are removed, and a small filling is placed at the end of the root to help prevent reinfection. The gum tissue is then sutured, and the surrounding bone gradually heals over the following months, allowing the tooth to continue functioning normally.
After the procedure, it is normal to experience mild discomfort or slight swelling while the area heals. Your endodontist will recommend appropriate pain medication to help keep you comfortable. If you experience severe pain, excessive swelling, or discomfort that does not improve with medication, please contact our office promptly.