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Digital Imaging | Wisdom Teeth | Dental Implants | Teeth Xpress | Bone Grafting | Oral Pathology | Jaw Surgery | Impacted Canines | Facial Trauma | TMJ Disorders | Pre-Prosthetic Surgery | Platelet Rich Plasma | Surgical Endodontics
Why would I need Endodontic Surgery? Generally, a root canal is all that is needed to save teeth with injured pulp from extraction. Occasionally, this non-surgical procedure will not be sufficient to heal the tooth and your dentist will recommend surgery. Endodontic surgery can be used to locate fractures or hidden canals that do not appear on x-rays but still manifest pain in the tooth. Damaged root surfaces or the surrounding bone may also be treated with this procedure. The most common surgery used to save damaged teeth is an apicoectomy or root-end resection.
What is an Apicoectomy? An incision is made in the gum tissue to expose the bone and surrounding inflamed tissue. The damaged tissue is removed along with a small amount of the root tip. A root-end filling is placed to prevent reinfection of the root and the gum is sutured. The bone naturally heals around the root over a period of months restoring full function. Larger defects may require bone grafting techniques to preserve form, function, and provide mechanical support to the tooth or adjacent teeth.
Following the procedure, there may be some discomfort or slight swelling while the incision heals. This is normal for any surgical procedure. To alleviate any discomfort, an appropriate pain medication will be recommended. If you have pain that does not respond to medication, please call our office. We routinely see our surgery patients for a post-surgical check two weeks after surgery, and then again in six months for a recall examination.
If symptoms of tooth pain persist after an apicoectomy is completed we recommend a bite adjustment and further evaluation. If this does not eliminate discomfort, or swelling and drainage persist, the tooth may be deemed non-restorable, at which time options will be presented to you by Dr. Rentschler or Dr. Rentschler and Dr. Bruksch.