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APICOECTOMY (An overview of endodontic surgery)

  • 14785 Jeffrey Road
  • Suite 105
  • Irvine, CA 92618
  • Tel: 949.751.2089
  • Fax: 949.502.6352

Why would I need endodontic surgery?

surgery procedure 1Generally, 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 your endodontist will recommend surgery. Endodontic surgery can be used to locate fractures or hidden canals that do not appear on x-rays but still manifest 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 or root-end resection.

What is an Apicoectomy?

The above diagram 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 root-end filling is placed to seal the canal and the gum is sutured. The bone naturally heals around the root over a period of months restoring full function.

surgery procedure 2 through 4Following 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.