Microsurgery

What is Apicoectomy?

Apicoectomy is a surgical procedure where an incision is made to expose the bone and the inflamed tissues around the root of the tooth. The inflamed tissues, along with the tip of the root (which often harbors the majority of microorganisms), are carefully removed. The root is then cleaned using ultrasonic tools, and a modern biocompatible material with excellent biological properties is used to fill the space. The gums are then repositioned with stitches, allowing the body to heal the lesion and restore the tooth to its natural function.

After the procedure, it is normal to experience some tenderness and swelling for a few days. This is a typical response after any surgical intervention. To alleviate discomfort and reduce swelling, it is important to follow the post-operative instructions provided by your dentist or endodontist.

Why May I Need Endodontic Microsurgery?

In most cases, a standard endodontic (root canal) treatment is sufficient to save a tooth and prevent the need for extraction. However, in some instances, a simple root canal treatment may not be enough, and Endodontic Microsurgery may be recommended. Through the use of a microscope, the endodontist can identify microcracks that may not be visible on standard radiographic images. Additionally, Endodontic Microsurgery is helpful for treating issues such as bone resorption or persistent lesions that remain despite previous endodontic treatment. The most common type of endodontic microsurgery is apicoectomy with retrofilling.