�Apicoectomy

Why would I need endodontic surgery?

Generally, 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 Dr. Karn, Dr. Lund, Dr. Saylor, Dr. Papworth, Dr. Penaz, Dr. Schuweiler or Dr. Mieczkowski will recommend surgery. Endodontic surgery is performed to operate on the ends of the roots to reach areas and correct problems that non-surgical treatment cannot. This is done in our office with local anesthetics. We will usually want to provide a consultation appointment prior to scheduling a surgical treatment appointment. Other surgical procedures we do include repairing damage to root surfaces and removing cracked roots from multi-rooted teeth.

What is an apicoectomy?

The pictures and video below illustrate 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 the gum is sutured. The bone naturally heals around the root over a period of months restoring full function.

1. Infected Tissue

2. Tissue Removed

3. Suture Placed

4. Healing Complete

What should I expect after an apicoectomy?

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.