Endodontic Surgery

Endodontic Surgery (Apicoectomy)

Generally, a root canal is all that is needed to save a tooth with injured nerve from extraction. Occasionally, this non-surgical procedure will not be sufficient to heal the tooth and Dr. Šarić 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?

An apicoectomy is a minor surgical procedure in which the very tip of the tooth's root is removed (“apico” – apex or end; “ectomy” – removal) and sealed. A root-end filling is placed to prevent re-infection of the root and the gum is sutured. The bone naturally heals around the root over a period of months restoring full function.

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.