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 endodontist 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?

The video on the right illustrates this simple procedure. An incision is made in the gum tissue to expose the bone and surrounding inflamed tissue. The damaged tissue is removed along with the end 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.

1. Infected Tissue

2. Tissue Removed

3. Suture Placed

4. Healing Complete

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.

Associated Dental Specialists

5 out of 5 stars based on 4 Apicoectomy reviews.

Our Latest Patient Testimonial

I felt completely at ease having this procedure done at the facility.

- Gretchen G

5 out of 5 stars on

Our Latest Patient Testimonial

Not only are the staff and doc courteous but they are very gentle and kind. They did a great job and the procedure went very well.

- Lynn O

5 out of 5 stars on

Our Latest Patient Testimonial

My experience could not have been better. Dr. Hand is a great Endonist. He made me feel very comfortable and confident. The surgery went very well from my prospective. I did not have any problems with my recovery. Slight discomfort and minimal swelling which I expected. I had my follow up visit and Dr. Hand advised that I am healing nicely. I owe it all to Dr. Hand.

- Gerry W

5 out of 5 stars on

Our Latest Patient Testimonial

Very impressive. I felt my comfort was a priority to the staff and especially the doctor. She made me feel very comfortable, offered explanations and exhibited herself to be very skillful. All in all an A+ experience.

- Carol S

5 out of 5 stars on