You are most likely familiar with general dentistry, such as cleanings, or exams, and even the occasional filling. The goal of dental care is to preserve the natural teeth so that they can remain in place for function and aesthetics throughout your lifetime. In some cases, more advanced treatments are needed to achieve this goal, such as endodontic procedures like apicoectomy.
An apicoectomy, or apical surgery as it is sometimes called, is an advanced dental procedure used to treat a tooth when traditional root canal therapy may not be sufficient. It can often save your tooth, restoring its health and structure.
If your dentist or endodontist has recommended an apicoectomy, you may be wondering what it is and when, or if, it is necessary. This overview will provide insight to help you understand the procedure and its benefits.
What is an Apicoectomy?
An apicoectomy is a specialized procedure, often referred to as endodontic surgery. It is considered a surgical procedure because it requires entry into the gum tissue to access the root of the tooth. The tip of the root is removed and any infected tissue is cleared out of the root canals inside. Diseased tissue around the tooth is also removed as needed. A filling is placed over the tip of the root to seal the tooth and prevent reinfection. The gum tissue is sutured back into place over the tooth so that it can heal effectively.
How is an Apicoectomy Different from a Root Canal?
During a root canal a small hole is made in the crown of the tooth to access the tissue inside. All of the soft tissue is removed from the root canal and replaced with infection-resistant material. A crown is typically placed over the tooth to complete the procedure. It is considered to be a non-surgical procedure.
However, an apicoectomy involves access to the inside of the tooth through the root rather than through the crown. This targets the source of the infection under the gums. An apicoectomy is considered to be a surgical procedure.
Why is an Apicoectomy Necessary?
Your dentist or endodontist may recommend an apicoectomy if a previous root canal has not been successful at restoring the health of the tooth and preventing infection. If another infection occurs in a tooth that has been treated previously, you may need root canal retreatment or an apicoectomy depending on the situation.
The Apicoectomy Procedure
- Local anesthesia is applied to numb the area and ensure your comfort.
- A small incision is made in the gum tissue to access the root and underlying tissues.
- Diseased tissue is removed from the area around the tooth.
- The tip of the root is removed and any infected tissue is removed from the root canal.
- The gum tissue is sutured to promote healing.
The entire procedure may take anywhere from 30 to 90 minutes. The exact length of time you will spend in the dental chair will depend on the details and complexity of your individual case.
Benefits of Apicoectomy
- Preserve the natural tooth. An apicoectomy can often save your natural tooth, allowing it to remain in place for the benefit of your oral health and your smile.
- Prevent future infection. A tooth that has been treated with an apicoectomy has a much lower risk of developing a new infection.
- Avoid tooth extraction and replacement. By saving the natural tooth you avoid extraction and the need for costly and time consuming replacement options such as bridges or dental implants.
Who Provides Apicoectomies?
An apicoectomy is an advanced endodontic procedure, meaning it is typically performed by an endodontist. An endodontist has completed additional education and training beyond a general dentistry degree to provide specific treatments and procedures that restore the health of teeth from the inside. The primary focus of endodontics is on the root canal and dental pulp, the soft tissue at the center of a tooth, keeping it healthy and preventing infection.
Choosing a Qualified Endodontist
An apicoectomy is a low-risk procedure when performed by a qualified, experienced endodontist. Dr. Sarraf at Eagle Endodontics has the education and expertise to provide advanced endodontic procedures, such as apicoectomies and other tooth-saving services. With a focus on patient comfort, our team is dedicated to providing a relaxing, positive experience.
Contact us today to learn more and schedule an appointment.
Frequently Asked Questions About Apicoectomies
Is it worth getting an apicoectomy or should I just have the tooth pulled?
Saving your natural tooth with an apicoectomy has many advantages over extracting the tooth. The natural tooth and root system can remain in place for a natural function and appearance. The cost of an apicoectomy is usually lower than the cost of most dental prosthetics and the results last longer.
Does an apicoectomy hurt?
Local anesthesia is provided to prevent any discomfort during the procedure. If you have feelings of anxiety, we provide nitrous oxide sedation to help you feel more comfortable and relaxed.
Eagle Endodontics is proud to provide specialized endodontic services for patients in Lexington and Belmont, MA. Our patient-centered focus and individualized treatment plans allow us to deliver exceptional care. Contact us today to schedule your consultation and learn more about how we can improve your oral health.