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What is an Apicoectomy?
 

An apicoectomy is specialized endodontic surgical procedure where the tooth’s root cavity is removed and a root end cavity is filled with a biocompatible material. These procedures are often necessary when a traditional root canal treatment has been unsuccessful. In these surgical procedures, an endodontist will open the gum tissue near the tooth, exposing the underlying bone and removing inflamed or infected tissue, as well as the end, or apex, of the root of the tooth. After this is done, a small fitting may be placed in the root to seal the end of the root canal. Several stitches will be placed in the gingiva to help the tissue heal.

After a period of a few months, the bone will heal around the end of the root. This type of endodontic surgery is often the best way to correct a serious problem in the root of the tooth. In some cases the only alternative may be extraction of the tooth, so these procedures are typically the most biologically sound and cost effective methods of correcting these types of problems.

Why an Apicoectomy?

There are a number of reason why an apicoectomy may be necessary. A canal that is blocked or inaccessible, an anatomical irregularity in the mouth, or a fracture or crack in the tooth roots may necessitate an apicoectomy. This procedure is typically only recommended after attempting one or more root canal treatments and failing to resolve the infection or inflammation. This type of procedure is something that is typically performed under local anaesthetic, much like a root canal treatment. Since these are last resort type procedures, apicoectomies are less common than root canal procedures.

The apicoectomy procedure is a very specific procedure that follows unsuccessful root canal treatments. In many situations, a root canal procedure is perfectly effective in resolving the problem and no further treatment is necessary. Consult with your endodontist for more specific information related to apicoectomy procedures.

Posted:  3/28/2016 2:01 PM
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