Generally, root canal treatment is all that is needed to save teeth with injured pulps from extraction. Occasionally, this non-surgical procedure (root canal treatment) will not be sufficient to heal the tooth and your endodontist may recommend surgery. Endodontic surgery can also be used in locating fractures or hidden canals that do not appear on x-rays but still manifest pain in the tooth.
An Apicoectomy is the most common Endodontic surgical procedure. This procedure is used to remove infection or inflammation from the bony area around the end of your tooth.
Associated Dental Specialists uses the surgical operating microscopes. The surgical operating microscope provides increased magnification and properly focused light which allows doctors to view areas that otherwise would not be seen during conventional endodontic surgery. Using the microscope, we can now anticipate an even higher degree of clinical success. Endodontic surgery, performed with a surgical operating microscope, requires advanced training and many hours of experience.
An opening is made in the gum tissue near the region of the tooth. Quite often inflamed, infected or pathological tissue will be removed and a biopsy taken. A small retro filling is usually placed to seal the root end of the root. Several stitches are then placed and healing generally proceeds without complications. With the use of modern anesthetics, Endodontic surgery usually involves little to no discomfort.