Why do I need endodontic surgery?
If the healing of a root canal treated tooth is not adequate, endodontic surgery may be recommended. Calcified deposits, unusual tooth anatomy, and existing treatment materials can make conventional endodontic retreatment less desirable. In these cases, a surgical approach may be indicated in order to reach areas that would otherwise be inaccessible and to facilitate proper healing.
How is an apicoectomy performed?
An apicoectomy, or root-end resection, is the most common surgical procedure to save damaged teeth. An incision made in the gum tissue near the tooth allows access to the root of the tooth. The inflamed or infected root tissue is removed with the involved root tip and a root-end filling is placed to seal the end of the root canal. Sutures, or stitches, hold the gum tissue in place and allow healing to begin.
Some swelling and discomfort is normal for any surgical procedure. Your endodontist will prescribe appropriate medication to help alleviate soreness.