Apicoectomy surgery as a “last resort” to preserve persistently failing teeth

Far and away, root canal therapy (RCT) represents the most common endodontic treatment. It has a success rate exceeding 90%. While commonplace and appropriate for many patients, this nonsurgical procedure is not for everyone. Fortunately, as an endodontist, Dr. Darlene Davis has the considerable specialized knowledge and experience (and the advanced tools) to preserve severely decayed and deeply infected teeth with surgery. The most frequently performed endodontic surgical procedure is the apicoectomy, better known as a “root-end resection” for reasons that will soon be obvious.

Soft Touch Endodontics is pleased to blend considerable skill with a light and gentle touch to support the most comfortable process as we restore your mouth’s health and overall well-being. 

What is an apicoectomy? 

This procedure involves accessing and treating the tips or ends of the roots, as well as neighboring inflamed or infected tissue. These tissues are removed through very precise openings that are made in the gums near the affected tooth. The treatment site is filled and sealed off like its nonsurgical counterpart. Since the tooth is accessed with micro-surgical precision, the openings made to remove the infection are also closed off. This process supports healthy, predictable healing and minimizes the risk of complications. After all, the ultimate goal is to preserve your tooth!

Why would I need an apicoectomy? 

Sometimes, patients and general dentists alike turn to us when their RCT teeth are persistently painful and fail to heal properly. This failure to heal may be due to several different factors; for instance, you may have a complex root system. There may be additional canals or overly narrow or curved canals that were missed during the initial RCT. There is an “exploratory component” to retreatment and root-end surgery. When accessing the troublesome tissues, we look for these anatomical anomalies, challenges, and complexities. From there, we can resolve these and other problems during treatment. Additionally, some patients’ teeth may not be good candidates for RCT from the get-go due to these and other characteristics. 

What can I expect after surgery? 

Our exacting and painless approach encourages fast and uneventful healing. In the weeks and months following treatment, the bone will naturally be regenerated and heal around the root end. Our patients are generally able to get back to their regular schedule and activities in the day following treatment. Of course, we are always available with clear information on after-care and follow-up visits. We make ourselves accessible to answer any questions or address any concerns throughout the process. Total healing time can vary considerably from person to person and depends on the severity of the infection. 

Soft Touch Endodontics looks forward to hearing from you! Our office in Suwanee, GA, may be reached at (770) 501-4645.