Generally, a root canal is all that is needed to save teeth with inflamed pulpal tissue and minimal bone pathology. Occasionally, this non-surgical procedure will not be sufficient to heal the tooth and your general dentist or endodontist will recommend surgery. Digital Panography can be used to locate fractures or hidden canals. The most common surgery used to save damaged teeth is an apicoectomy or root-end resection.

What is an Apicoectomy?

The left 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 prevent reinfection of the root and bone, the gum is then 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.