Expert Endodontic Surgery at Robert Scott Nance, D.D.S., M.S., P.A.
Sometimes, a standard root canal treatment is not enough to heal a damaged or infected tooth. In these more complex cases, endodontic surgery offers a path to save the natural tooth and restore your oral health. Dr. Robert Scott Nance, with over 25 years of specialized experience, provides this advanced care to patients in Hickory NC and Statesville NC. His practice is dedicated to delivering precise, effective, and comfortable solutions that preserve your natural smile.
What Is Endodontic Surgery?
Endodontic surgery, also known as an apicoectomy or apical surgery, becomes necessary when a conventional root canal cannot completely resolve an infection. The procedure involves accessing the tip of the tooth's root to remove infected tissue and create a seal that prevents future infection. For many patients, endodontic surgery is the final opportunity to save a tooth that would otherwise require extraction.
Dr. Nance utilizes innovative equipment and surgical techniques to ensure high accuracy and success rates. Every procedure is supported by advanced technology, including high-resolution 3D CBCT imaging, surgical microscopes, ultrasonic instruments, and modern bioceramic materials. This commitment to technology allows for predictable outcomes and the best possible care.
When Is Endodontic Surgery Recommended?
Dr. Nance may recommend endodontic surgery under several conditions:
- Persistent Infection: When infection and inflammation continue after a standard root canal treatment.
- Complex Root Anatomy: If a tooth has curved, narrow, or intricate root canals that were not fully cleaned during the initial procedure.
- Trauma or Fracture: An injury that damages the tooth's pulp or root structure.
- Failed Previous Treatment: In cases where a tooth did not heal properly or has become reinfected after a prior root canal.
- Large Abscesses or Cysts: If an infection has spread from the tooth's root into the surrounding bone.
After a comprehensive evaluation, Dr. Nance will determine if surgery is the most appropriate option to resolve the issue and save your natural tooth.
Advanced Technology for Superior Surgical Outcomes
Our practice is equipped with the latest dental technology to ensure optimal results:
- High-Resolution 3D CBCT Imaging: This technology provides a detailed three-dimensional view of the tooth and surrounding bone, allowing for precise surgical planning.
- Surgical Microscopes: High-magnification microscopes give Dr. Nance a clear view of complex root structures, enabling the accurate removal of all infected tissue.
- Ultrasonic Instrumentation: These tools are used for thoroughly cleaning and shaping the root canals during surgery.
- Digital Radiology: We use digital X-rays, which provide clear, instant images with reduced radiation exposure.
- Bioceramic Materials: These advanced, biocompatible materials are used to seal the root tip, ensuring a durable and long-lasting barrier against reinfection.
The Endodontic Surgery Process
Each surgery is carefully planned to ensure patient comfort and a successful outcome. The process typically includes these stages:
- Comprehensive Evaluation: Nance performs a thorough examination, including advanced imaging, to assess the extent of the infection or damage.
- Treatment Planning: He will then outline the surgical plan, explaining the procedure and expected results, so you feel fully informed.
- Anesthesia and Sedation: The procedure is performed using local anesthesia to numb the area. Sedation options are also available for enhanced comfort.
- Surgical Procedure: A small incision is made in the gum tissue to access the root tip. The infected tissue is removed, and the root is sealed.
- Post-Operative Care: You will receive detailed instructions on pain management, oral hygiene, and follow-up visits to ensure proper healing.
Following these post-operative instructions is crucial for the long-term success of the treatment. Dr. Nance and his team are always available to answer any questions you may have during your recovery.
Meet Dr. Robert Scott Nance, D.D.S., M.S., P.A.
Dr. Robert Scott Nance is a highly trained endodontist serving the communities of Statesville and Hickory, NC. After earning his Doctor of Dental Surgery (D.D.S.) and Master of Science (M.S.), Dr. Nance has dedicated his career to mastering advanced endodontic treatments. With 25 years of experience, his practice is founded on the principles of precision, innovation, and patient-centered care. Through continuous education, he remains at the forefront of modern endodontics, integrating new technologies and techniques to achieve excellent outcomes.
The Advantages of Endodontic Surgery
Choosing endodontic surgery over tooth extraction offers several key benefits:
- Preserves Your Natural Tooth: Saves a tooth that might otherwise be lost.
- Eliminates Pain and Infection: Provides lasting relief from discomfort.
- Restores Function: Allows you to chew and bite normally again.
- Protects Oral Health: Prevents potential damage to adjacent teeth and bone.
- High Success Rate: Modern techniques and materials lead to predictable, long-lasting results.
Preparing for Your Endodontic Surgery
Proper preparation is an important part of a successful procedure. We encourage patients to:
- Continue taking any regular medications unless otherwise instructed.
- Inform our team of any medical conditions, such as heart disease, diabetes, or allergies.
- Follow any pre-operative instructions, which may include taking an anti-inflammatory medication.
- Eat a full meal before your surgery if you are only receiving local anesthesia.
- Bring any relevant medical or dental records to your appointment.
Our office will provide you with all the information you need to feel confident and prepared for your surgery.
Payment and Financing Options
We are committed to making treatment accessible. While our office does not accept dental insurance directly, we offer flexible financing plans through CareCredit and Cherry. These services provide convenient payment options tailored to your needs. We also accept cash, debit, Visa, and MasterCard.
