Endodontic Surgery:
Restoring Dental Health from Within

Our Endodontic Surgery service provides advanced procedures to address challenging root canal cases. Trust our skilled specialists to save your natural teeth and alleviate discomfort, ensuring optimal oral health and function.

Table of Contents

Welcome to The Practice, your trusted dental care provider committed to helping you achieve optimal oral health. In this article, we will explore the field of endodontic surgery, a specialized branch of dentistry focused on treating dental issues affecting the innermost layer of your teeth, known as the pulp. 

We aim to provide a comprehensive understanding of this procedure and address frequently asked questions to empower you with the knowledge needed to make informed decisions about your oral health.


What is Endodontic Surgery?

Endodontic surgery, apical surgery, or root-end surgery, is a surgical procedure performed by an endodontist to treat complex dental conditions that cannot be resolved through conventional root canal therapy. It involves accessing the root tip of the tooth to remove infected tissue, repair damage, and promote the healing of the surrounding tissues.


When is Endodontic Surgery Needed?

Endodontic surgery is typically recommended when a non-surgical root canal treatment is insufficient to resolve the issue. It may be necessary in cases where a root canal procedure has already been performed. Still, the infection persists when anatomical complexities, such as curved or narrow canals, prevent successful treatment. Other indications include root fractures, persistent cysts or abscesses, and needing biopsy or removal of damaged tissue.


Indications for Endodontic Surgery

Failed Non-Surgical Treatment

If there are persistent symptoms like pain, swelling, or infection after a root canal treatment, surgical intervention might be necessary to address the problem.

Complex Anatomy

Teeth may have intricate root canal systems that are challenging to clean and treat with conventional non-surgical methods. Endodontic surgery allows for a more direct approach, ensuring a higher chance of success.

Root Canal Retreatment

Sometimes, a treated tooth might develop new complications. Endodontic surgery can be the solution, sparing you from an extraction.


Types of Endodontic Surgery

Apicoectomy (Root-End Resection)

Involves removing the infected tip of a tooth’s root and sealing the root. This is often performed when a persistent infection or inflammation after a root canal occurs.


A procedure in which a tooth with multiple roots is sectioned in two. This can be a practical approach for treating infections or fractures, preserving one portion while removing the problematic part.

The Endodontic Surgery Process

The technique begins with a comprehensive examination, including X-rays and other diagnostic imaging. On the day of the surgery, we’ll ensure your comfort through local anesthesia. Then, a small incision is made to access the tooth’s root. Depending on the procedure (apicoectomy, hemisection, or others), we’ll remove the infected tissue, cleanse the area, and seal the tooth. The incision is then sutured, and post-operative instructions will aid your recovery.


The Endodontic Surgery Procedure

The procedure involves the following steps:

  •  Examination and Diagnosis: Our team will conduct a thorough examination, which might include digital imaging and tests, to assess the tooth’s condition.


  •  Local Anesthesia: Before the surgery, a local anesthetic will be administered to ensure your comfort.


  •  Access to the Tooth: A small incision is made in the gum tissue to access the root of the affected tooth.


  • Cleaning and Treatment: The root tips and infected tissue are removed, and the area is disinfected.


  • Filling and Closure: A filling seals the root canal, and the incision in the gum is closed with sutures.


  • Healing Process: Over the next few months, the surrounding bone heals.


Endodontic surgery is performed under local anesthesia to ensure your comfort throughout the procedure. The endodontist creates a small incision in the gum tissue near the affected tooth, allowing access to the underlying bone and root tip. 

The infected or damaged tissue is then removed, and the root end is carefully shaped and sealed to prevent future infection. Sometimes, a small filling or a biocompatible material may be placed to facilitate healing. The incision is then sutured, promoting proper healing of the surrounding tissues.

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Recovery and Postoperative Care

Following endodontic surgery, it is normal to experience some swelling, discomfort, and minor bleeding. Over-the-counter pain medications and ice packs can help alleviate these symptoms. 

Following your endodontist’s postoperative instructions is essential, including taking prescribed medications and practicing good oral hygiene. Avoid chewing on the treated tooth until it has fully healed. Attend follow-up appointments to monitor your progress and ensure optimal healing.


FAQs About Endodontic Surgery


Is Endodontic Surgery the Same as a Root Canal Treatment?

While both procedures focus on treating the dental pulp, they differ in complexity. Endodontic surgery is employed when traditional root canal treatment isn’t sufficient.


What is the success rate of endodontic surgery?

Endodontic surgery has a high success rate, with studies indicating success rates of up to 90%. Success depends on various factors, such as the nature of the dental issue being addressed, the skill of the endodontist, and proper postoperative care.


Is endodontic surgery painful?

Endodontic surgery is performed under local anesthesia, ensuring you remain comfortable throughout the procedure. After the surgery, some discomfort and swelling are normal, but these can be managed with pain medications prescribed by your endodontist.


How long does it take to recover from endodontic surgery?

Recovery time varies from patient to patient. Generally, the initial healing process takes a few days to a week. Complete healing of the treated tooth and surrounding tissues may take several months. Following your endodontist’s postoperative instructions and attending follow-up appointments are crucial for a smooth recovery.


Are there risks associated with endodontic surgery?

As with all surgical procedures, risks such as infection or delayed healing are possible. However, our team takes all precautions to minimize these chances and ensure a successful outcome.


Can I drive home after the surgery?

Since you’ll receive local anesthesia, you should be able to drive home. However, if you feel uncomfortable, have someone accompany you.


Will I need to take time off work after the procedure?

While some patients might prefer to rest a day, many can return to work or their routines the day after the surgery. Give yourself the needed time to heal.


Can I resume normal activities after endodontic surgery?

Avoid strenuous activities for a few days. Our team will provide post-operative instructions to ensure a smooth recovery.


In Summary

At The Practice, our experienced team of dental professionals is dedicated to providing you with the highest quality of care. Don’t hesitate to contact our office if you have any further questions about endodontic surgery or want to schedule a consultation. Your dental health is our priority, and we look forward to helping you achieve a healthy, pain-free smile.

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