Endodontic Surgery

Endodontic Surgery

Why would I need surgery?

Generally, root canal therapy is very successful in saving the tooth. Sometimes, however, root canal therapy cannot be done or is not enough to save the tooth. In those cases Endodontic surgery (= “apisectomy”) is required instead of or in combination with root canal treatment. Surgery may also be needed to diagnose certain conditions, such as tooth fractures, and to treat damaged root surface or surrounding bone.

Endodontic Surgery

In this procedure, the endodontist opens the gum tissue near the tooth to see the underlying bone and to remove any inflamed or infected tissue. The very end of the root is also removed.

root canal therapy
A small filling may be placed in the root to seal the end of the root canal, and a few stitches or sutures are placed in the gingiva to help the tissue heal properly.
root canal therapy
Over a period of months, the bone heals around the end of the root.

Will the procedure hurt?

Before the procedure, your endodontist will administer local anaesthetics to make the procedure comfortable. Of course, you may feel some discomfort or experience swelling and bruising while the incision heals. This is normal for any surgical procedures. Your endodontist will recommend appropriate pain medication to alleviate your discomfort. You will also be given specific postoperative instructions to follow. If you have questions after your procedure, or if you have any pain that does not respond to medication, call your endodontist.