Thad Strange DMD, MS - Flowood Endodontics

Apicoectomy

Why would I need Endodontic Surgery?
 
Generally a root canal is all that is needed to save a tooth, but occasionally this procedure is not enough to heal the apical portion of the tooth.  Endodontic surgery may be required to locate root fractures or hidden canals which may be the cause of persistent pain or swelling.  This is the most common procedure used to insure proper healing secondary to root canal therapy.
 
What is an apicoectomy?
 
After local anesthesia, an incision is made in the gum tissue.  The tissue is released from the bone to expose the infected area of the root.  The damaged tissue is removed using curettage and a small portion of the root is removed.  A root-end filling material is placed (retro fill) and the tissue is sutured.  In most occasions artificial bone is placed in the bone cavity, created by the infection, to aid in establishing new bone regeneration.
 
Following the procedure there may be some discomfort or slight swelling while the gum tissue is healing.  Proper medication will be prescribed to alleviate the discomfort.  You will be rescheduled to return for suture removal in five to six days.

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