Apicoectomy Laguna Woods, Orange County, Anaheim & Mission Viejo | Root End Surgery

What is Apicoectomy?
Apicoectomy (apico- + -ectomy) knows as root end surgery, also known as a root resection, or retrograde root canal treatment, or root-end filling. The teeth are held firmly in place by strong roots that extend into the jawbone. The end or tip of each root is termed the apex. The apex is where the nerves and blood vessels enter the tooth, and aids in the delivery of blood to the crown (the part of the tooth you can see in your mouth).

A root canal treatment refers to the cleaning of the canals and the removal of infected and inflamed tissue within the root. When the inflammation or infection persists after the root canal treatment, an apicoectomy may be required. An apicoectomy is essentially the removal of the apex (root tip), followed by a filling procedure to seal the root from further infection. When left untreated, infected roots can damage other teeth, spread infection, and cause regression of the jawbone. The infected tissue is often exceptionally painful.

The purpose of an apicoectomy is to eliminate the infection in the tissue and to ultimately preserve the function of the tooth and save it from extraction. An apicoectomy will rarely be considered by the dentist unless a prior root canal treatment has failed. Sometimes the dentist is unable to effectively clean a root canal due to blockage, narrow or curved root canals, or small adjoining root branches that are too tiny to clean.

What does getting an Apicoectomy Involve?

Prior to the surgery, the dentist will generally prescribe an antibiotic or anti-inflammatory medication to treat the underlying infection. Panoramic x-rays will then be taken to enable the dentist to plan the apicoectomy, which will be performed under local anesthesia.

The dentist will make a small incision in the gum and expose the root by lifting away the gum. In some cases, a tiny fraction of the jawbone may be removed to properly expose the root. The edge of the root tip and any infected connective tissue will be removed using ultrasonic instruments. The root will be sealed using a retrofill (filling material) and the dentist will suture the gum with several stitches. After several days, the dentist will remove the stitches, and the connective tissues will fully heal several months after the procedure.

If you have a dental emergency or are experiencing any signs or symptoms, such as pain or swelling associated with a tooth that has had a root canal treatment, contact our office immediately to schedule an appointment.