An endodontist is a dentist who focuses on the care of the teeth, gums and mouth. Endodontists can help treat a wide range of problems, including an abscessed tooth. It is always advisable to seek treatment for an abscessed tooth early. If not treated, this problem can lead to more serious complications. Read on to…
What Is Endodontic Surgery?
For a proper understanding of endodontic surgery, knowing about the non-surgical endodontic treatment procedure, or root canal, is essential. A root canal is imperative when the infection or inflammation invades the delicate internal tissues of the tooth, called the pulp. This may be caused by severe tooth decay, repeated dental treatments or trauma to the tooth.
Endodontic treatment is set to remove necrotic or damaged pulp, after which the tooth canal will be cleaned and filled up to keep the tooth intact. In some cases, the nonsurgical endodontic procedure may not be enough to save the tooth, so the dentist or endodontist may suggest endodontic surgery.
Cases that require endodontic surgery include:
- Cracked roots
- Persistent cysts
- Regularly blocked root tips
- Acute pain
- The need to clean up residue from a previous root canal treatment
- Perforated root tips
- Abnormally formed tooth with poorly structured roots
That is not all …
Surgery may be necessary for diagnosis. If you are dealing with specific symptoms, but no issues show up on X-ray scans, there may be a little crack on the tooth or canal that is not immediately obvious with nonsurgical treatment. In such instances, the endodontist may perform surgery to check the tooth root, detect the problem and recommend treatment.
Sometimes, calcium deposits can shrink the canal to the point where it is hard for cleaning and shaping instruments used in the nonsurgical procedure to access the root of the tooth. If calcification occurs inside the tooth, endodontic surgery may be the only way to clean and close the rest of the canal.
Typically, after a root canal treatment, the tooth should be good for a lifetime and never require additional endodontic surgery. Yet, in rare cases, the tooth may not heal and soon become painful or infected within months or years after the first treatment. In this cases, endodontic surgery may be the tooth saver.
Surgery can also be necessary when there are damages to the root surfaces of nearby bones.
Although there are many surgeries to save the tooth, the most common endodontic surgery is apicoectomy or root-end resection. Apicoectomy is often recommended when inflammation or infection occurs on the bony part located at the base of the tooth following a root canal treatment.
Apicoectomy entails dissecting the gum tissues close to the toot to reveal the bone beneath and eliminating any infected or inflamed tissue. The procedure also includes removing the tail end of the root.
The endodontist or oral surgeon may place a small filling to close the tail end of the root canal. Stitches or sutures in the gum will ensure that the tissue heals completely. With time, the bone will heal around the root, and the tooth will be fully restored.
Other endodontic surgery includes repairing a damaged root, splitting a tooth in half or extracting one or more roots. The endodontist will enlighten you on the particular type of surgery you need. The procedures are primarily aimed at saving the tooth from extraction.
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An endodontist is a highly skilled dentist who focuses on saving teeth. Endodontists can perform particular procedures to restore health to a damaged tooth. These include pulpotomies and pulpectomies. Read on to learn more about a pulpotomy and a pulpectomy.Pulpotomies and pulpectomies can both be recommended for decay, trauma or infection that has reached the…
A visit to the endodontist may not be a regular occurrence, but it can relieve serious oral problems. This dental professional focuses on diagnosing and treating injuries to and abnormalities of the teeth’s pulp. A root canal is one of the most common procedures this doctor will perform. You may have anxiety when you hear…
If someone suggests to you that you need to see an endodontist, you must have a severe condition. A general dentist provides overall oral health care and treats moderate conditions. An endodontist has additional knowledge and training of the tooth’s roots and pulp. Before you make an appointment to see this dentist, you should consider…