If your dentist has recommended root canal treatment, you may feel worried, especially if you have heard all the rumors about the treatment. However, there is no need to worry – root canal therapy is a dental procedure performed to relieve tooth pain and extend the life of the tooth. The more you learn about…
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.
Check out what others are saying about our services on Yelp: Read our Yelp reviews.
Looking for more information on endodontic procedures so you can have an idea of what to expect when you make an appointment with an endodontist? Many dental patients are taking the time to learn more about what to expect when they are in need of dental treatment. This is a great idea, as the more…
Wondering what the difference is between an endodontist and a general dentist? While both types of dental professionals can perform a root canal, there are differences. One difference is that endodontists tend to perform root canals every single day, while general dentists may only perform them a few times a month. Another difference is that…
If you have one or more decayed teeth, an endodontist can help save your teeth. In previous times, decayed teeth simply had to be pulled. Patients would then need to live without the tooth. However, advances in endodontic medicine mean that your tooth may not need to be pulled at all.An endodontist works to maintain…