Endodontic Surgery (Apicoectomy)
Most teeth respond well to root canal treatment, but in certain cases, infection may persist or return. When that happens, endodontic surgery, specifically an apicoectomy in Hickory NC and Statesville NC can often resolve the issue. This procedure allows your endodontist to reach the root tip directly, remove infected tissue, and seal the area, giving your tooth the best chance of long-term success.
Understanding Apicoectomy
An apicoectomy is a minor surgical procedure designed to treat infections that lie beyond the reach of traditional root canal therapy. During treatment, a small incision is made near the gum line, the root tip is removed, and the space is thoroughly cleaned and sealed with a biocompatible material. By addressing the infection at its source, the procedure preserves the natural tooth and prevents the need for extraction.
When Surgery Is The Best Option
Your endodontist may recommend an apicoectomy if:
- A previous root canal did not completely eliminate the infection
- Complex or hidden canals prevented full cleaning the first time
- A fracture or crack extends to the root tip
- Scar tissue or calcification makes retreatment impossible
- Discomfort or swelling remains despite prior therapy
In these situations, surgical treatment offers a direct, reliable way to restore health to the affected tooth.
Step-By-Step: What Happens During The Procedure
The tooth and surrounding area are numbed with a local anesthetic.
A small opening is made in the gum to access the root.
The infected root tip is carefully removed.
The end of the root canal is cleaned and sealed.
Sutures are placed to allow the gums to heal properly.
The entire process is typically completed in less than an hour, and most patients return to normal activities within a day or two.
Recovery And After-Care
Some mild soreness or swelling is common for the first few days after surgery, but this is easily managed with over-the-counter medication and cold compresses. Your endodontist will provide personalized post-op instructions, which may include dietary adjustments, oral care tips, and guidance on managing discomfort. Healing generally occurs within a few weeks, and follow-up visits ensure everything is progressing as expected.
Why Choose Surgery Over Extraction?
Extraction may seem like the simpler choice, but removing a natural tooth often leads to new challenges such as shifting teeth, bite changes, and costly replacement procedures. An apicoectomy allows you to keep your natural tooth, maintain proper function, and avoid more invasive alternatives.
Benefits Of Endodontic Surgery
- Eliminates infection at the root tip
- Prevents further spread of bacteria
- Relieves persistent pain and swelling
- Preserves natural teeth for long-term function
- Avoids the need for bridges or implants
Your Tooth May Still Be Saved
If you’ve been told that a tooth cannot be restored, an apicoectomy might be the answer. With advanced techniques and modern surgical tools, endodontic surgery provides a safe, effective way to preserve your natural teeth.
Schedule your consultation today at one of Robert Scott Nance, D.D.S., M.S., P.A.'s locations in Hickory NC or Statesville NC to find out if endodontic surgery is the right solution for you.
