Endodontic Microsurgery


We offer surgical endodontic treatments for complex root canal cases in Richmond.

Endodontic Microsurgery in Richmond


Endodontic microsurgery is an advanced procedure performed using a high-tech dental microscope. Available in Richmond at the Root Canal Dental Referral Centre, microsurgery is recommended in cases where a regular root canal procedure alone cannot save your tooth, or in cases where a tooth has not healed as expected following a root canal treatment. Endodontic microsurgery has a number of benefits and ultimately can save a tooth that would otherwise require extraction.

What can microsurgery achieve?

Extensive diagnosis. When patients are in pain, but no problems appear on their x-rays, microsurgery can locate tiny fractures or hidden canals that the naked eye cannot detect.

Enhanced cleaning and sealing. In cases where a build-up of calcium has made the canal too narrow for a dentist to employ regular cleaning and shaping instruments, endodontic microsurgery provides a solution that will enable the tooth to be thoroughly cleaned and sealed.

Saving a tooth. In cases where a tooth has failed to heal, symptoms persist following treatment, or symptoms have come back months, or even years, later, endodontic microsurgery extends the possibility of saving a tooth when regular root canal treatment has not worked.

Treatment of disease that has spread. Endodontic microsurgery is generally required to treat areas where disease has spread to the surface of the tooth root or into the surrounding bone.


At the Root Canal Dental Referral Centre we use our dental microscope to carry out a number of procedures that can 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. Post-surgical discomfort is generally mild.

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