Root canal therapy can often treat infections within the tooth root, but an apicoectomy is sometimes recommended by your doctor if the infection persists after treatment. This endodontic microsurgery treatment is done to minimize the chance of you developing additional infections.
Why do I need an apicoectomy?
An apicoectomy is meant to alleviate any problems with the infected tooth root before the tooth is unable to be saved. Some common reasons an apicoectomy may be recommended are
- Curved or Narrow Root Canals. Root canal therapy may not be successful in teeth with curved or narrow root canals. The shape may preclude proper instrumentation of the infected area, and residual infection and inflammation may necessitate removing the tip of the root via an apicoectomy.
- Small Root Branches. When there are small branches to keep the tooth anchored solidly within the jaw, it can be difficult to clean and seal during root canal therapy. This can result in inflammation and require an apicoectomy for adequate treatment.
- A Block in the Root Canal. When a tooth has already undergone root canal therapy, debris from the procedure can cause a blockage. When the dentist attempts a second root canal, and the canal is blocked, an apicoectomy may be necessary to complete the treatment.
If you are in need of an apicoectomy, your dentist or endodontist may refer you to our office for your procedure. We will perform an exam and may take additional X-rays or 3D scans to determine the safest and most efficient method for solving the problem. Depending on your condition, the treatment can usually be performed in 30–90 minutes. If your dentist recommends an apicoectomy, we encourage you to contact our office.