Occasionally, a root canal procedure alone cannot save your tooth and we will recommend surgery. Endodontic surgery may be necessary to locate small fractures or hidden canals that weren't detected on x-rays or during previous treatment. Surgery may also be needed to remove calcium deposits in root canals, or to treat damaged root surfaces or the surrounding bone of the tooth.
There are several surgical procedures that can be performed to save a tooth. The most common is called an apicectomy, or root-end resection, which may be needed when inflammation or infection persists in the bony area around the end of your tooth after a root canal. In this microsurgical procedure, we open the gum tissue near the tooth to expose the bone and to remove any diseased tissue as well as the end of the root. A small filling may be placed to seal the end of the root canal and few stitches are placed to help the tissue heal. Local anaesthetics make the procedure comfortable, and most patients return to their normal activities the next day. Postsurgical discomfort is generally mild.