Sometimes a microsurgical procedure may be required to preserve your tooth. This will depend on the nature of the problem existing prior to treatment as well as the response of the involved tissues after endodontic therapy. Should the need for microsurgery become evident before, during, or after endodontic treatment, you will be informed.
Endodontic microsurgery is a surgical procedure utilizing a sophisticated operating microscope and special microsurgical instruments. The increased magnification and illumination greatly improve diagnostic capabilities and the precision of surgical procedures. Long term prognosis is enhanced and post-surgical trauma is reduced. The most common surgery used to save damaged teeth is an apicoectomy or root-end resection.
What is an Apicoectomy? An incision is made in the gum tissue to expose the bone and surrounding inflamed tissue. The damaged tissue is removed along with the end of the root tip. A root-end filling is placed to prevent reinfection of the root and the gum is sutured. The bone naturally heals around the root over a period of months restoring full function.
Following the procedure, there may be some discomfort or slight swelling while the incision heals. This is normal for any surgical procedure. To alleviate any discomfort, an appropriate pain medication will be recommended. If you have pain that does not respond to medication, please call our office.