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 Dr. Elise Ellingsen or Dr. Hayley Denison will recommend surgery. Endodontic surgery can be used to locate fractures or canals that are inaccessible during endodontic treatment which can manifest as pain in the tooth. Damaged root surfaces or the surrounding bone may also be treated with this procedure. The most common surgery used to save damaged teeth is an apicoectomy also known as root-end resection.

What is an apicoectomy?

 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.

What should I expect after an apicoectomy?

Following the procedure, there may be some discomfort or slight swelling while the incision heals. This is normal for any surgical procedure and typically subsides after a couple days when inflammation from the procedure has subsided. To alleviate any discomfort, an appropriate pain medication will be recommended.  A handout with post-op instructions will be provided after treatment is completed. If you have pain that does not respond to medication, please call our office.