Endodontic Surgery

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.

Painless microsurgical root canal treatments

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.

Root canal treatment, retreatment or endodontic surgery may all be ways to help you save your tooth. Sometimes, however, a tooth cannot be saved, and will need to be extracted and replaced with a prosthetic, or artificial, tooth. You should talk to us about all of your options to save your natural tooth before choosing to have a tooth extracted.

Treatment Options for a Diseased Tooth

The extracted tooth will usually have to be replaced with an implant, bridge or removable partial denture to restore chewing function and to prevent adjacent teeth from shifting. Because these options require extensive surgery or dental procedures on adjacent healthy teeth, they can be far more costly and time consuming than retreatment and restoration of the natural tooth. No matter how effective tooth replacements are—nothing is as good as your own natural tooth. You’ve already made an investment in saving your tooth. The payoff for choosing retreatment could be a healthy, functioning natural tooth for many years to come.

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