Guidelines

When do I need to have an apicoectomy?

When do I need to have an apicoectomy?

An apicoectomy is aminor surgical procedure that removes the apex, or very tip, of the tooth’s root. WHY WOULD I NEED THIS? An apicoectomy, also known as root end surgery, might be necessary if an infection develops or continues after a root canal.

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Why is an apicoectomy called root end surgery?

An apicoectomy is also known as root end surgery. This is because it involves the removal of a tooth’s root tip and surrounding tissue. It’s also called apical surgery, which refers to the “apex,” or end, of the tooth.

What kind of anesthetic is used for an apicoectomy?

The local anesthetic used for an apicoectomy has about twice as much epinephrine (similar to adrenaline) as the anesthetics used when you get a filling. The extra epinephrine constricts your blood vessels to reduce bleeding near the surgical site so the endodontist can see the root.

How is a bone graft used in an apicoectomy?

The tooth is sealed to prevent further infection and, if needed, a bone graft may be placed to provide additional support. Once the tooth is cleaned and stabilized, the incision is sutured closed. An apicoectomy allows us to save many teeth that would otherwise be lost.

Is the apicoectomy more painful than a root canal?

Is it painful? An apicoectomy can be more invasive than a typical root canal surgery, meaning the recovery time is usually more painful. Patients will receive local anesthesia during an apicoectomy to help prevent any pain. Minor discomfort and swelling are normal after the procedure.