Surgical Endodontics

Connecticut Valley Oral Surgery Associates serving Greenfield, Amherst, Northampton, Brattleboro, & Keene

Apicoectomy | An overview of endodontic surgery

Why would I need Endodontic Surgery? Generally, a root canal is all that is needed to save teeth with injured pulp from extraction. Occasionally, this non-surgical procedure will not be sufficient to heal the tooth and your endodontist or dentist will recommend surgery. Endodontic surgery can be used to locate fractures or hidden canals that do not appear on x-rays but still cause pain in the tooth. Damaged root surfaces or the surrounding bone may also be treated with this procedure. The most common surgery used to save damaged teeth is an apicoectomy or root-end resection.

What is an Apicoectomy?

The diagram below illustrates this simple procedure. An incision is made in the gum tissue to expose the bone and surrounding inflamed tissue. The damaged tissue is removed along with the end of the root tip. A root-end filling is placed to prevent reinfection of the root and the gum is sutured. The bone naturally heals around the root over a period of months restoring full function.

Following the procedure, there may be some discomfort or slight swelling while the incision heals. This is normal for any surgical procedure. To alleviate any discomfort, an appropriate pain medication will be recommended. An antibiotic may also be prescribed. 

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Connecticut Valley Oral Surgery Associates

5 out of 5 stars based on 1 Surgical Endodontics reviews.

Patient Testimonial By Tim M

From the time I arrived until I was done i felt very at ease. The staff that assisted me (Nicki) directed me to the procedure room and made me feel comfortable. The Dr. (Nick Theberge) explained the entire procedure to me and helped ease my anxiety. He was very professional to say the least. His assistant (Barb) was a real superstar helping me get through what I thought was going to be an unpleasant experience. I can’t say enough about the entire staff that i came in contact with. I would highly recommend Connecticut Valley Oral Surgery Associates.

- Tim M

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