Why would I need endodontic surgery?

Generally, a root canal is all that is needed to save teeth with injured pulp from extraction. Occasionally, this non-surgical procedure will not be sufficient to heal the tooth and Dr. James will recommend surgery. Endodontic surgery can be used to locate fractures or hidden canals that do not appear on x-rays but still manifest pain in the tooth. Damaged root surfaces or the surrounding bone may also be treated with this procedure. The most common surgery used to save damaged teeth is an apicoectomy or root-end resection.

What is an apicoectomy?

The video above illustrates this simple procedure. An incision is made in the gum tissue to expose the bone and surrounding inflamed tissue. The damaged tissue is removed along with the end of the root tip. A root-end filling is placed to prevent reinfection of the root and the gum is sutured. The bone naturally heals around the root over a period of months restoring full function.

1. Infected Tissue

2. Tissue Removed

3. Suture Placed

4. Healing Complete

What should I expect after an apicoectomy?

Following the procedure, there may be some discomfort or slight swelling while the incision heals. This is normal for any surgical procedure. To alleviate any discomfort, an appropriate pain medication will be recommended. If you have pain that does not respond to medication, please call our office.


Lakeway & Dripping Springs Endodontics

5 out of 5 stars based on 2 Apicoectomy reviews

Our Latest Patient Testimonials

Overall experience was exceptional. I highly recommend his office and his services.

- William P

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Our Latest Patient Testimonials

Today I met with Dr. James regarding a potential root canal for a cracked tooth. Dr. James ultimately recommended that I move forward with a tooth replacement because of the potential risk that my cracked tooth would not respond well long-term to a root canal. I wish all businesses operated with the same level of honesty and integrity of Dr. James. I was very pleased with his honest feedback and recommendation for a better long-term solution which was not necessarily in his best financial interest. We are lucky to have Dr. James here in Lakeway, and I would highly recommend him to anyone looking for an honest and patient-focused endodontist.

- Chris N

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