In most cases, non-surgical root canal therapy is all it takes to treat an injured tooth. However, sometimes the tooth contains hidden canals or fractures that do not appear on X-rays but still cause tooth pain. An apicoectomy is a surgical procedure that is sometimes necessary following root canal therapy.
During an apicoectomy or root-end resection, the endodontist makes a small incision in the gum and bone tissue and removes the inflamed tissues surrounding the root tip. The root tip is also removed and replaced with a root-end filling to prevent reinfection. The gums tissue is sutured, and over time the bone heals naturally.
Some pain and swelling is normal following apicoectomy surgery. To alleviate discomfort, we will prescribe a pain-management medication. Please contact the office if pain persists.