In some cases, our doctor might suggest you visit an endodontist for an apicoectomy. An endodontist is a dentist who specializes in root canal therapy. In certain situations, it is helpful for a patient to receive treatment by a professional who specializes in this area.
What it is
An apicoectomy is a minor procedure that is performed when traditional root canal therapy is either not possible or not the best course to reach a solution. In an apicoectomy, the tip of the tooth’s root is removed and then sealed off.
Why It Is Done
Typically, root canal therapy is done when pulp in the root of a tooth becomes infected. This infection can then spread, worsening the problem. In root canal therapy the pulp is removed from the tooth, along with any infected tissue. Sometimes this is not possible or previous root canal therapy has failed, and instead an apicoectomy is done.
An apicoectomy is performed through the gum. Patients will receive local anesthetic and a small incision in the gum is made. Like root canal therapy, the inflamed roots will be cleared out and then sealed to prevent the infection from spreading. Expect the treatment to take 30 to 90 minutes. Usually, an apicoectomy on a front tooth takes less time than one on a lower molar.
What to expect afterwards
Like any oral surgery, some discomfort can occur after the procedure. When brushing your teeth, you will want to be gentle around the area. Any further discomfort can usually be mitigated with over-the-counter medications such as ibuprofen. Medicine may be prescribed, if needed, to alleviate any discomfort that cannot be managed by over-the-counter medications.
Unlike traditional root canal therapy, you may not need to have a dental crown placed following an apicoectomy.
Acting on root issues as soon as they are detected is your best defense against further problems. For more tips on keeping teeth healthy or for questions about apicoectomies, contact our office.