Apicoectomy or Root-End Surgery
If you are experiencing ongoing tooth problems and pain after a root canal due to a recurring infection, it may be time to consider an apicoectomy, also known as root-end surgery. This procedure is typically the last resort to save your tooth, as extraction is often the alternative. At Desert Sun Endodontics
in Phoenix, AZ, we provide apicoectomy and other oral surgery procedures, including dental implants, wisdom tooth extraction, and jaw surgery. Our primary objective is to maintain the functionality and aesthetics of your natural teeth.
What is an Apicoectomy?
In order to comprehend the apicoectomy procedure, it is crucial to be familiar with the anatomy of a tooth. While the crown is the visible part of the tooth in your mouth, there is more to it than meets the eye. The root of the tooth is situated below the gumline and is firmly anchored in the jawbone.
Front teeth generally have one root, whereas back teeth, such as molars, have two or more roots. The apex, located at the tip of the root, acts as the gateway for blood vessels and nerves. Extending from the apex is a narrow channel that leads to the pulp chamber, which is essentially the core of the tooth. However, the pulp chamber remains hidden beneath the enamel and is not visible.
Root canal therapy is a dental procedure that entails the extraction of damaged or infected tissue from the inner part of a tooth and sealing it to prevent future infections. It can be likened to a deep cleaning of the internal areas of a tooth. Nevertheless, there are situations where this treatment may not be enough to eradicate an existing infection. Factors like hidden canals or tooth cracks, which may not be visible on x-rays or treatable with traditional root canal techniques, can make the process more complex.
If an infection returns after a root canal, it typically suggests the requirement for an apicoectomy or a second root canal. If your dentist suggests root-end surgery, it implies that a root canal alone cannot rescue your tooth and a more comprehensive procedure is needed. In these instances, an apicoectomy or root-end surgery is often the sole choice to salvage a root canal treated tooth that is deteriorating.
An apicoectomy is a surgical procedure that is done on the tip of a tooth's root. During this procedure, a small cut is made in the gum tissue to reveal the infected root tip. The infected tissue is then taken out, along with a part of the infected root. Once the extraction is complete, the remaining tooth is sealed to prevent any further infection. In certain situations, a bone graft might be necessary, and the area is closed up with stitches.
The success rate of this procedure is remarkably high, resulting in the preservation of numerous teeth annually. Nevertheless, there are cases where the infected tooth is unable to endure the surgery and necessitates extraction. In the event of an unsuccessful apicoectomy, the subsequent course of action would involve extracting the tooth.
What can I anticipate in terms of recovery after root-end surgery?
Root-end surgery usually has a quick recovery time, but it's crucial to be careful with your diet until the incision is completely healed. Similar to any surgery, there might be tenderness and swelling during the recovery phase. To alleviate any discomfort and expedite your recovery, you will receive prescribed medications. We will discuss the specifics of your recovery process and the expected downtime during your consultation. Many patients discover that recuperating from root-end surgery is easier than their initial root canal treatment.
New Patients & Emergency Appointments Welcome!
