Why would I need Endodontic Surgery?

When a tooth with a root canal treatment is not healing, an apicoectomy may be required to solve the problem. Endodontic surgery can be used to locate fractures or hidden canals that do not appear on x-rays but still cause pain and/or infection of the tooth. Damaged root surfaces or the surrounding bone may also be treated with this procedure. 

What is an Apicoectomy?

The video on the right 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 and the gum is sutured. It will take from six to twelve months for the bone to naturally grow back around the root. 

What to expect after surgery?

Following the procedure, there may be some discomfort, slight swelling and bruising that can last up to one week. This is normal for any surgical procedure. To alleviate any discomfort, an appropriate pain medication will be recommended. Make sure to ice the area (ice pack on the face skin) for 10 minutes every half hour for 24h following surgery. It is recommended to eat softer food for one week and to eat on the opposite side of the affected area. Avoid to floss and brush the area where the sutures are for one week or until the sutures are removed. We also recommend to sleep with your head elevated (two or more pillows) for the following week. If you have pain that does not respond to medication or any abnormal bleeding or swelling, please call our clinic as soon as possible at Ottawa Office Phone Number 613-238-2463.