An apicoectomy is an endodontic surgical procedure that may be recommended when an infection develops or won’t go away after root canal therapy or endodontic retreatment. Dr. Conard may suggest an apicoectomy if it is the best option for saving your natural tooth. We will discuss what is best recommended for you to ensure that you make an informed decision.
This treatment is indicated when fractures or hidden canals do not appear in x-rays, but still cause pain or infection around the tooth. Surgery can detect and clean canals that are unusually narrow or blocked. Damaged root surfaces and the surrounding bone may also be treated with this procedure.
During an apicoectomy, a local anesthesia is used to make you feel comfortable and relaxed. To begin this microsurgical procedure, an incision is made in the gum tissue to expose the underlying bone and surrounding inflamed tissue. The inflamed or infected tissue along with the end of the root tip is removed. Our endodontist will thoroughly clean the nerve canals and any infected tooth structure. Surgery is performed using a surgical microscope, allowing our endodontist to see the area better. This increases the chances for success. A root-end filling is then placed to seal and prevent any additional infection of the root. The bone should naturally heal around the root over a period of months, allowing full function.
Post-surgical discomfort is generally mild and most patients return to their normal activities very quickly. If needed, apply a cold compress to reduce discomfort and swelling after the procedure.
If you have any additional questions, please feel free to contact our Myrtle Beach office at any time.