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. Collier, Dr. Thomas or Dr. Powell will recommend surgery. Endodontic surgery can be used to locate fractures or hidden canals that do not appear on x-rays but still manifest pain in the tooth. Damaged root surfaces or the surrounding bone may also be treated with this procedure. The most common surgery used to save damaged teeth is an apicoectomy or root-end resection.

What is an apicoectomy?

The video above illustrates 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.

an apicoectomy involves the surgical removal of infected tissue
1. Infected Tissue
infected tissue is removed after gaining access through the gum
2. Tissue Removed
the root tip is sealed and the the gum sutured after an apicoectomy
3. Suture Placed
bone and tissue normally heal after an apicoectomy
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.


Brookwood Endodontics

5 out of 5 stars based on 3 Apicoectomy reviews.

Our Latest Patient Testimonial

An overall great environment for a dreaded procedure that went very well.

- Lynne B

5 out of 5 stars on

Our Latest Patient Testimonial

Great overall, no problems with procedure

- Karen E

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Our Latest Patient Testimonial

Very courteous staff love the blankets, view, and TV. Also very greatful they were able to conclude I did not need the initially intended procedure and worked me in ASAP to get the procedure that would better solve my decay problem! Below I would click yes

- Sarah L

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