How An Apicoectomy Can Treat Infection

While most root canal treatments are successful, there are cases where complications may arise, and the infection persists even after the initial treatment. In such scenarios, we may recommend an apicoectomy. In this blog, your endodontic specialists in El Paso, TX,  dive into what an apicoectomy is, why it is performed, and what to expect during the procedure.

What is an Apicoectomy?

An apicoectomy, also known as a root-end resection, is a surgical dental procedure performed to treat infections that re-occur after treatment. It involves removing the infected tip of the tooth’s root and a small portion of the surrounding tissue to eliminate the source of the infection.

Reasons for an Apicoectomy

This procedure is typically recommended when a persistent infection remains in the root tip or surrounding bone. Here are a few reasons why we may suggest this procedure:

• In some cases, despite initial root canal treatment, bacteria can persist in the root tip or surrounding area, leading to recurrent infections.
• Teeth with complex root structures or inaccessible canals may be challenging to treat with conventional root canal therapy alone. An apicoectomy allows the endodontist to directly access and treat the affected area.
• Calcifications within the root canal can hinder proper cleaning and shaping of the canal during a standard root canal procedure. An apicoectomy can remove the calcified blockage more effectively.

The Apicoectomy Procedure

The apicoectomy procedure is typically performed by an endodontist or an oral surgeon. Here is a general overview of what to expect:

• To ensure your comfort, local anesthesia is administered numbing the area around the affected tooth.
• A small incision is made in the gum tissue near the tooth to expose the root tip. This allows access to the infected area.
• The endodontist carefully removes the infected tissue along with the tip of the root. They also clean and shape the root canal if necessary.
• To prevent further infection, a special dental material is used to seal the end of the root.
• The gum tissue is then sutured back in place, promoting healing. Over time, the bone around the treated tooth will regenerate.

Post-Procedure Care

After the apicoectomy, it is crucial to follow your dentist’s instructions for optimal healing. You may be prescribed antibiotics to prevent or treat any infection that may occur. Over-the-counter pain relievers can be used to manage any discomfort or swelling. Optimal oral hygiene is important for recovery but make sure to brush gently and avoid disturbing the surgical site while it heals. A follow-up appointment will be scheduled so we can monitor the healing progress and remove sutures if necessary.

Schedule An Evaluation Today

Our endodontic experts are here to resolve your dental infections and help you keep your natural teeth. To learn more about retreatment, give us a call at Omni Endodontics in El Paso, TX at (915)990-3636!