It’s possible that a nonsurgical root canal procedure won’t be enough to save your tooth and that we will recommend surgery. Endodontic surgery can be used to locate small fractures or hidden canals previously undetected on X-rays during the initial treatment. Surgery may also be needed to remove calcium deposits in root canals, or to treat damaged root surfaces or the surrounding bone of the tooth.
There’s no need to worry about surgery if you are prescribed this additional measure. Advanced technologies like digital imaging and operating microscopes allow these procedures to be performed quickly, comfortably, and successfully.
There are many surgical procedures that can be performed to save a tooth. The most common is called an apicoectomy, or root-end resection, which may be needed when inflammation or infection persists in the bony area around the end of your tooth after a root canal procedure.
Your endodontist performs this micro surgical procedure by first making you comfortable by applying local anesthesia before opening 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. A small filling may be placed to seal the end of the root canal and a few stitches or sutures are placed to help the tissue heal. In the next few months, the bone will heal around the end of the root. Most patients return to their normal activities the next day. Post-surgical discomfort is generally mild.
How Long is the Procedure for Apicoectomy?
Typically, you are scheduled for 2 hours but the procedure itself is 90 minutes.
Will You Put Me to Sleep During My Apicoectomy?
Most of our cases are done under local anesthetics. There are oral sedation or nitrous oxide available for patients having anxiety. IV sedation is not used at our office for treatment at this time.
Will I Need Someone to Drive Me to the Office for My Root Canal Treatment?
No, you would only need a driver if you are taking a prescription for oral sedation.