Occasionally, a root canal procedure will not be sufficient to heal a tooth and surgery is required. The most common surgery used to save damaged teeth is called an apicoectomy or root-end resection. An apicoectomy procedure can be used to locate fractures or hidden canals that do not appear on x-rays, but still manifest pain in the tooth. Damaged root surfaces or the surrounding bone may also be treated with this particular type of procedure.
During Apicoectomy 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 then placed to prevent re-infection of the root and the gum is sutured. Over the next couple of months, the bone naturally heals around the root and full function is restored.
Following the procedure, there may be some discomfort or slight swelling while the incision takes time to heal. This is normal for any surgical procedure. To alleviate any discomfort, an appropriate pain medication will be prescribed. If the pain persists, please call our office at (212) 813-0707.