Occasionally, a root canal procedure is not sufficient to heal a tooth and surgery is required. The most common surgery used to save damaged teeth is called an apicoectomy. An apicoectomy procedure can be used to locate fractures or hidden canals that do not appear on x-rays, but still cause pain in the tooth. Damaged root surfaces or the surrounding bone may also be treated with this particular type of procedure.
During an apicoectomy, an incision is made in the gum tissue to expose the bone and surrounding infected tissue. The damaged tissue is removed along with the end of the root tip and a root-end filling is then placed to prevent re-infection of the root. The bone will then naturally heal around the root.
Following the procedure, there may be some discomfort or swelling as the incision heals. To alleviate any discomfort, appropriate medication will be prescribed. If the pain persists, please call our office at (718) 398-1969.
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