An apicoectomy is an endodontic surgical procedure that may be recommended when an infection develops or won’t go away after root canal therapy or root canal retreatment. Your dentist may suggest an apicoectomy if it is the best option for saving your own natural tooth. Your dentist will discuss what is best recommended for you to ensure that you make an informed decision.
This solution is used to locate fractures or hidden canals that do not appear in x-rays but still create pain in the tooth. Surgery can detect and clean canals that are unusually narrow or blocked. Damaged root surfaces and the surrounding bone may also be treated with this procedure.
During an apicoectomy, a local anesthesia is used to make you feel comfortable and relaxed. To begin this microsurgical procedure, an incision is made in the gum tissue to expose the underlying bone and surrounding inflamed tissue. The damaged inflamed or infected tissue and end of the root tip is removed. Your dentist will thoroughly clean the nerve canals and any infected tooth structure. Cleaning is done using a surgical microscope, allowing your dentist to see the area better. This increases the chances for success. A root-end filling is then placed to seal and prevent any additional infection of the root. The bone should naturally heal around the root over a period of months, allowing full function.
Post-surgical discomfort is generally mild and most patients return to their normal activities the next day. If needed, apply a cold compress to reduce discomfort and swelling after the procedure. Prescribed pain medication may be recommended. During this healing process, schedule follow up appointments with your dentist. X-rays and examinations will be conducted to ensure proper healing. If you have any additional questions, contact your dental office.