Apicoectomy is a surgical procedure that is performed to remove the root tip of a tooth. This procedure is often necessary when the root canal treatment has failed, and the tooth is still infected. The infection can be caused by bacteria, a fracture in the tooth, or an obstruction in the root canal. Below, we will discuss when root-end resection may be necessary.
If a Root Canal Does Not Help
A root-end resection may be necessary if a root canal does not relieve the infection or if the tooth continues to be painful. A root canal removes the infected pulp from the tooth but does not always kill the bacteria that caused the infection. The bacteria can remain in the root canal and cause the infection to come back.
However, this surgical procedure will remove the root tip, which contains the bacteria, and can help relieve the infection. This is often the last resort to save a tooth before it needs to be extracted.
If There Is an Obstruction in the Root Canal
An obstruction in the root canal can also be a reason for needing a root-end resection. The obstruction can be caused by debris, tissue, a filling that is too high, or even a clot. If the obstruction is not removed, it can cause a blockage that prevents the root canal from being cleaned properly.
This procedure will remove the obstruction and allow the root canal to be cleaned correctly by your endodontist in Woodmere, NY.
To Avoid Pulling a Tooth Out
A root-end resection can also be performed to avoid pulling a tooth out. Removing the root tip can save the tooth if the tooth is still structurally sound, but the root is infected. This procedure is often chosen over an extraction because it will allow you to keep your natural tooth.
When performing a root-end resection, your endodontist will make a small incision in your gum tissue to access the root tip. The root tip will then be removed, and the area will be cleaned. A small filling will be placed in the root canal, and your gum tissue will be sutured closed.
If There Is a Fracture in the Tooth
A fracture in the tooth can also cause an infection. A fracture is a crack in the tooth that can go all the way down to the root. If the fracture is severe, it can cause the root to be exposed. This exposure can allow bacteria to enter the tooth and cause an infection.
A root-end resection may be necessary to remove the root tip and relieve the infection. It does this when the root canal treatment fails, and the tooth is still infected. The infection can be caused by bacteria, a fracture in the tooth, or an obstruction in
If You Have Had Previous Root Canal Treatment
If you have had previous root canal treatment, you may still need a root-end resection. The success rate of root canal treatment is high, but it is not always successful. Most root canal treatments are successful the first time, but there is a slight chance that the infection can return.
If you are experiencing any of the conditions explained above, you might need a root-end resection. This procedure is often the last resort to save a tooth before it needs to be extracted. Long Island Endodontics is a respected endodontic office in Woodmere, NY that has successfully performed many apicoectomies. If you think you might need this procedure, don’t hesitate to get in touch with us to schedule a consultation.