Root canal therapy is extremely effective in saving teeth that have been damaged by deep or extensive decay or trauma. But like any type of medical treatment, sometimes there are complications, and with a root canal, that means sometimes the procedure falls short of eliminating and preventing additional decay.
Although complications are uncommon, the good news is, root canal retreatment can help. Apicoectomy is one of the therapies used in root canal retreatment, targeting infection and inflammation that happen at the tooth root tip or apex.
The team at Compassionate Endodontists New York/NYC serving Manhattan, the Upper West Side, Lenox Hill, and Midtown, use apicoectomy to eradicate infections around the root tip, taking extra steps to seal the root and prevent future issues. Here’s what happens during an apicoectomy and what you can expect afterward.
While a root canal addresses infection in the pulp portion inside the center of your tooth, an apicoectomy focuses squarely on infections and other issues involving the end of the tooth root and the tissue surrounding it.
During an apicoectomy, we numb the gum around the tooth, then make a small incision to access the root. After examining the area, we remove infected soft tissue and any damaged bone tissue, as well as the infected portion of the tooth root.
Next, we fill and seal the root tip, sometimes applying an antibiotic directly to the area. Once the area is treated, the incision is closed with a couple sutures. There is no need for general anesthesia.
Treating an infection at the root tip is just one reason why you might need an apicoectomy. We might also recommend treatment if you have:
Prior to apicoectomy, we perform diagnostic imaging to evaluate the area and map out your treatment.
Accessing the end of your tooth root may sound complicated, but an apicoectomy is very straightforward. Unless you have sedation to help you relax, you can drive yourself home afterward and plan on returning to regular activities the next day.
Once the numbing agent wears off, you can expect some minor discomfort and swelling in the area. These can be managed with over-the-counter pain relievers. You can also apply an ice pack to your cheek to reduce swelling.
Our team provides you with instructions on cleaning the area, as well as guidance regarding which foods to avoid during the initial stages of healing.
Our team is devoted to providing the most advanced treatment options to help our patients relieve painful symptoms and enjoy optimal oral health. To learn more about apicoectomy or to find out what’s causing your tooth or gum pain, call 929-229-0255 or book an appointment online at our New York City office today.
