Endodontic Microsurgery
The most common type of endodontic microsurgery is an apicoectomy, also known as an apico procedure, which involves removing the tip of the root canal tooth because of lingering infection in the area. First, the endodontist uses local anesthetic to numb the area. Then, a small incision is made in the gums so the surgeon can access the root of the tooth.
This treatment removes the affected area of the root, then a filling is placed so the end of the tooth is resealed. It is a fast and simple treatment, and most patients can return to their normal activities within a day or two.
Why might endodontic microsurgery be needed?
In most cases, a root canal is enough to save a tooth with damaged pulp and prevent the need for extraction. However, in some situations, a root canal alone may not fully heal the tooth, and surgery may be required. If your tooth has an infection, once the root canal is completed, your body is responsible for healing the infection. Sometimes, your body is not able to fully heal the infection. This is usually if the infection is large or contains a particularly difficult strain of bacteria, or if your immune system is compromised due to health problems or medications that you are taking.
If there are ongoing problems after a root canal treatment, then endodontic microsurgery is one solution that could potentially save the tooth and prevent the need for tooth extraction.
Your dentist might refer you to an endodontist to determine if microsurgery, also known as a root canal apicoectomy, is necessary.