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Typically, a root canal procedure is sufficient to rescue teeth with damaged pulp, averting the need for extraction. However, there are instances where this non-surgical approach does not fully resolve the issue, prompting your endodontist to advise surgical intervention. Endodontic surgery is particularly useful in identifying fractures or elusive canals not visible on x-rays, which could be the source of tooth discomfort. Additionally, it can address issues related to damaged root surfaces or affected bone surrounding the tooth. Among the various surgical procedures, an apicoectomy, or root-end resection, stands out as the most frequently employed method to salvage teeth that are at risk.
An apicoectomy is a straightforward surgical procedure aimed at saving a tooth when traditional root canal therapy isn’t enough. This process begins with a small incision made in the gum tissue to reveal the bone and any inflamed tissue around the end of the tooth’s root. The surgeon then removes the inflamed or infected tissue along with the very tip of the root. After the removal, a special filling is placed at the root’s end to block any future infections from entering the root canal. Finally, the gum is stitched back together. Over the following months, the bone naturally regenerates around the root, eventually restoring the tooth’s full functionality.
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