Endodontic microsurgery is typically recommended for patients who have had a root canal in the past, but the infection has persisted after treatment, or even after multiple endodontic retreatments. It can be used to avoid a tooth extraction, which is usually the only other option if root canal treatment fails multiple times.
To begin, your mouth will be cleaned to sanitize the treatment area, and the surgical area will also be thoroughly numbed. You can be sedated during this process, as well.
Your endodontist will create a small incision near the root of the tooth, based on your x-rays, imaging, and treatment plan. Then, the gum tissue will be lifted to expose the roots of the tooth for surgical treatment.
The infected tip of the tooth root will be removed, along with any inflamed or infected tissue. This eliminates the infection and protects the integrity of the tooth.
The root tip is filled with an inert, biocompatible material, which holds the tooth in place and seals the root, preventing further bacterial infection. After this, the gum tissue is folded and sutured back into place, completing the procedure.
Your endodontist at ONE ENDO will give you comprehensive instructions for healing and aftercare. You’ll usually take antibiotics and painkillers for a few days after your treatment, and come back to have your sutures removed after about a week. You may experience some minor pain and discomfort and mild bleeding while you recover, but this is normal.
Apicoectomies have a typical success rate of 85%, making them a great option for restoring your smile. If you want more information regarding our services, take a look at our frequently asked questions.