About root surgery

The most common endodontic surgical procedure is called an apicoectomy or root-end resection.  Should inflammation or infection persist in the bony area around the end of your tooth after previous root canal treatment, your endodontist may perform an apicoectomy.

In this procedure, the endodontist opens the gum tissue near the tooth to expose the underlying bone, and the infected tissue is removed.  The very end of the root is also removed, and a root-end filling is placed to seal the root canal.  The sutures placed at the conclusion of the procedure are then removed one week later.  Local anesthetics make the procedure comfortable; however, some patients elect to have nitrous oxide sedation as well.

If you have been advised by your general dentist that endodontic surgery may be a treatment option, we will evaluate your tooth and recommend appropriate care.  In many cases non-surgical re-treatment of a previous root canal is a better treatment option than surgery.