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 An overview of Endodontic Surgery


Generally, a root canal is all that is needed to save teeth with injured pulp from needing extraction. It may be necessary to perform surgery if a root canal does not sufficiently heal the tooth. Endodontic surgery can detect fractures or hidden canals not apparent on x-rays but still causing pain in the tooth. This procedure can also be used to treat damaged root surfaces or surrounding bone. A root end resection, or apicoectomy, is the most common endodontic procedure used to save damaged teeth.


During the procedure, an incision in the gum tissue is made to expose the bone and the surrounding inflamed tissue. Then the damaged gum tissue and root tip are removed. As part of the procedure, a root-end filling is placed in order to prevent reinfection of the root, and the gum tissue is repositioned and stitched. Over the next few months, the bone around the root heals, restoring full function to the tooth.

As the incision heals, there may be some discomfort or swelling. This is typical of many surgical procedures. In the event that you are experiencing discomfort, you will be prescribed an appropriate pain medication. Following your surgery, we will also provide you with detailed instructions for taking care of the area.

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