Endodontic surgery can be used to locate small fractures or hidden canals that were not previously detected on x-rays during initial treatment. A non-surgical root canal procedure may not be enough to save the tooth and the endodontist may recommend surgery. Surgery may also be needed to remove calcium deposits in the root canals or to treat damaged root surfaces or surrounding bone of the tooth. Endodontic treatment is set to remove necrotic or damaged pulp, after which the dental canal will be cleaned and filled to keep the tooth intact.
In some cases, the non-surgical endodontic procedure may not be enough to save the tooth, so the dentist or endodontist may suggest endodontic surgery. An apicectomy is a procedure performed to surgically remove an infection inside the tooth and repair the roots. This is often recommended when a standard root canal procedure fails or is not an option. In this procedure, the endodontist opens the gum tissue near the tooth to see the underlying bone and remove any inflamed or infected tissue.
The end of the root is also removed. A small filling may be placed in the root to seal the end of the root canal and some stitches or sutures will be placed in the gums to help the tissue heal properly. Over a period of months, bone heals around the end of the root. To understand endodontic surgery, it is first useful to know something about the non-surgical endodontic procedure or the root canal.
Endodontics is necessary when the soft internal tissue, or pulp, of the tooth becomes inflamed or infected. This can occur as a result of deep tooth decay, repeated dental procedures on the tooth, or a blow to the tooth. Endodontic treatment removes damaged pulp. The tooth canals are then cleaned and filled to help preserve the tooth.
Why Endodontic Surgery Is Necessary Calcium deposits sometimes cause a canal to be too narrow for cleaning and shaping instruments used in non-surgical root canal treatment to reach the end of the root canal. If your tooth has this calcification, the endodontist can perform endodontic surgery to clean and seal the rest of the canal. Other Types of Endodontic Surgery Instructions for Patient Care After Endodontic Surgery. The endodontist performs this microsurgical procedure, which first makes you feel comfortable by applying local anesthesia before opening the gum tissue near the tooth to see the underlying bone and remove any inflamed or infected tissue.
Endodontists will recommend pain medication afterwards to help with any swelling and discomfort while the incision heals. If you have questions after the procedure, or if you have pain that doesn't respond to medications, call your endodontist. An endodontist is a highly trained dental professional who solves problems within the tooth using specialized techniques. You can often do this, but you should ask your endodontist before your appointment so that transportation arrangements can be made if necessary.
In such cases, the endodontist may perform surgery to check the root of the tooth, detect the problem, and recommend treatment. Your endodontist will give you instructions on what to eat, how to handle any medications you are taking, and other ways to prepare. Your dentist or endodontist suggests endodontic surgery because they believe it is the best option to save your own natural tooth. The endodontist may need to perform an apicectomy when inflammation or infection persists in the bone area around the end of the tooth after a root canal procedure.
Learn about surgical procedures endodontists perform to treat an abscess or infection and save your tooth. Other surgeries endodontists can perform include splitting a tooth in half, repairing an injured root, or even removing one or more roots. Occasionally, a non-surgical root canal procedure alone cannot save the tooth and the endodontist will recommend surgery. Endodontists can perform other surgeries, such as splitting a tooth in half, repairing an injured root, or even removing one or more roots.