Apicoectomy

Why would I need Endodontic Surgery?

In most cases, a root canal is enough to treat an injured tooth and avoid extraction. However, there are times when this non-surgical treatment isn’t sufficient to fully heal the tooth. In such cases, your endodontist may recommend endodontic surgery.

Surgery can help identify issues that aren’t visible on X-rays, such as tiny fractures or hidden canals that may be causing persistent pain. It can also be used to treat damaged root surfaces or bone around the tooth.

The most common surgery used to save damaged teeth is an apicoectomy (also known as root-end resection).

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 small filling is then placed at the end of the root to seal it and prevent future infection. The gum is then sutured, and over the next few months, the bone will naturally heal around the root, restoring full function to the tooth.

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.