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Endodontic Surgery
(Apicoectomy)
An apicoectomy is a minor surgical procedure that helps save a tooth with a persistent infection that hasn’t healed after a root canal. During an apicoectomy, the very tip of the tooth’s root (called the “apex”) is removed along with any infected tissue around it. The area is then cleaned, and the end of the root is sealed to prevent future infection.
This procedure is often recommended when a standard root canal isn’t enough to fully resolve an issue, but the tooth can still be saved. It’s a straightforward process that can relieve pain, eliminate infection, and help keep your natural tooth in place. An apicoectomy is usually performed under local anesthesia, so you’ll stay comfortable throughout the procedure.
FREQUENTLY ASKED QUESTIONS...
What happens during an apicoectomy?
Your endodontist will numb the area with local anesthesia to keep you comfortable. A small incision is made in the gum tissue near the affected tooth to access the root tip. The end of the root and any infected tissue are carefully removed, and the root canal is sealed with a filling material. The gum is then sutured back into place, and the area begins healing.
Will the procedure hurt?
The procedure itself is painless because the area is numbed with local anesthesia. After the procedure, you may experience mild discomfort or swelling, which can usually be managed with over-the-counter pain relievers. Your endodontist will provide detailed aftercare instructions to help you stay comfortable during recovery.
What can I expect during recovery?
Most patients experience mild swelling and tenderness in the area for a few days following the procedure. You’ll need to avoid strenuous activity, follow a soft food diet, and maintain good oral hygiene to aid healing. Stitches are typically removed within two weeks, and full recovery usually takes about a month.
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