Endodontic Microsurgery or Apicoectomy

Why Would I Need Endodontic Surgery?

In most cases, root canal treatment is sufficient to save a tooth with an injured or infected pulp and avoid extraction. Occasionally, however, non-surgical root canal treatment may not be enough to fully heal the tooth. In these situations, Dr. Mendez and her associates may recommend endodontic surgery.

Endodontic surgery can be used to locate fractures or hidden canals that do not appear on standard X-rays but continue to cause persistent pain or infection. It can also be used to treat damaged root surfaces or surrounding bone. The most common surgical procedure used to save a tooth is an apicoectomy, also known as root-end resection. This modern procedure allows even complex cases to be treated successfully.

The advanced technique performed using the latest technology, biocompatible materials, and high-magnification surgical microscopes is referred to as endodontic microsurgery.

What Is an Apicoectomy?

The video above illustrates this procedure. During an apicoectomy, a small incision is made in the gum tissue to expose the underlying bone and surrounding inflamed tissue. The damaged tissue is removed along with the tip of the root. A root-end filling is then placed to seal the end of the root and prevent reinfection. The gum tissue is sutured, and the bone naturally heals around the root over a period of months, restoring function and comfort.

1. Infected Tissue

2. Tissue Removed

3. Suture Placed

4. Healing Complete

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. 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.