Endodontic Surgery

Why would I need endodontic surgery?


Endodontic surgery can help save your tooth in a variety of situations.

– Occasionally, canals are too calcified and narrow for the instruments used in nonsurgical root canal treatment to reach the end of the root. Endodontic surgery is then required to clean and seal the remainder of the canal.

– When symptoms persist, endodontic surgery may be used as a diagnostic aid. Your tooth may have a tiny fracture or canal that could not be located during nonsurgical treatment. Endodontic surgery allows the entire root of your tooth to be examined allowing the problem to be located and the correct treatment provided.

– Endodontic surgery is also performed to treat damaged root surfaces or surrounding bone.

The most common surgical procedure performed to save a tooth is termed and apicoectomy. This is done when infection and inflammation persist in the bony area around the end of your root following a root canal. Although rarely used, other surgical procedures include root amputation and intentional replantation.

What is an apicoectomy?


In this procedure, a small incision is made near the tooth to allow visualization of the underlying bone and allow for removal of the inflamed or infected tissue.

The very end of the root is also removed and a filling is placed to seal the end of the root canal. A few sutures or stitches are then placed to allow the tissue to heal properly.

By removing the infected tissue, the bone heals around the end of the root.