Apicoectomy

Apcal Surgery in Plainview, Massapequa, and Levittown

Why would I need endodontic surgery?


Generally, a root canal is all that is needed to save teeth with injured pulp or nerve tissue from extraction. Occasionally, this non-surgical procedure will not be sufficient and Dr. Bass, Dr. Scharfenberger, Dr. Hirsch, Dr. Rosenberg, Dr. Jurman, Dr. Kneller, Dr. Fleischman or Dr. Bacigalupo will recommend surgery.

Endodontic surgery can be used to treat residual infections, cysts as well as to locate fractures or hidden canals that do not appear on x-rays but still manifest pain in the tooth.  The most common surgery used to save damaged teeth is an apicoectomy or root-end resection.


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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.

Diagram of infected tissue at the root end of a tooth in the upper jaw
1. Infected Tissue
Diagram of a tooth getting an apicoectomy - surgical removal of infected tissue through the upper gum and jaw
2. Tissue Removed
Diagram of an upper tooth and jaw bone, healing from an apicoectomy
3. Suture Placed
Diagram of a healed upper tooth and jaw bone after an apicoectomy
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.


Patient Reviews: Apicoectomy

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