Endodontic Surgery / Apicoectomy
Endodontic surgery, commonly referred to as an apicoectomy (or apico for short), is a specialized procedure performed to address persistent infections in the root tips and surrounding bone of a tooth that cannot be resolved through traditional root canal therapy. This type of surgery is typically necessary when inflammation or infection persists in the bony area around the end of your tooth after a root canal treatment, or if the tooth's complex root canal anatomy makes non-surgical treatment challenging or impossible
During an apicoectomy, the endodontist makes a small incision in the gum tissue to expose the bone and remove any inflamed or infected tissue, along with the end of the root tip. A small filling may then be placed to seal the end of the root canal, and a few stitches or sutures are used to help the tissue heal properly. The procedure is usually performed under local anesthesia, making it comfortable and minimally invasive.
At Elm Endodontics, our surgeries are enhanced with the use of a laser for both hard and soft tissue. Treatment is enhanced because the laser is less invasive than traditional drills, it sterilizes while it cuts, and it improves cleaning the surgical site and disruption of biofilms that cause disease. You can read more about our use of lasers here (Enhanced Irrigation) and here (Photobiomodulation)
After the procedure, it's normal to experience some swelling and discomfort, which can typically be managed with over-the-counter pain relievers and ice packs. Patients are advised to follow a soft diet and avoid disturbing the treated area with their tongue or fingers. Good oral hygiene practices are crucial, but the surgical site should be gently cleaned to avoid irritation. Most patients can return to their normal activities the following day, but it's important to follow any personalized post-op care instructions that we provide at the time of treatment to ensure a smooth and swift recovery
An apicoectomy is a highly effective procedure for preserving a tooth that might otherwise need to be extracted. With proper care, the surgical site heals within a week or so, and the tooth can function normally, free from pain and infection.
Contact us today to choose treatment under the care of Dr. Shelley at Elm Endodontics, which offers the best in modern care utilizing 3D CBCT imaging, treatment and diagnosis while using a microscope, enhanced irrigation technologies, and private rooms.