What is endodontic microsurgery? Endodontic microsurgery can be used to find fractures, damaged areas of the root, or hidden nerve canals. Endodontic microsurgery can be used as an alternative, or in addition to retreatment to address infections that remain after initial root canal therapy. In most cases, endodontic microsurgery is focused on the root tip. This is where the anatomy is most complex and hidden nerve canals are often found. The procedure starts with a small incision in the gums. This creates a window to access the problem root and surrounding infection. The very tip of the root (usually 3-5mm) is removed along with the damaged tissue. A root-end filling is placed to prevent reinfection of the root and the gum tissue is put back in place with stitches. The bone naturally heals around the root  and the tooth will be fully functional. Minor swelling and discomfort may be experienced for the first couple days afterwards. This is normal for any surgical procedure.

 

DISCLAIMER: This information contains general guidelines only. If you have a tooth that you think needs treatment, please have your dentist or specialist conduct a proper exam to determine your specific options.


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Fig. 1: This is a tooth with adequate root canal treatment, but it still has an infection in the jaw bone around the tip of the root. In cases like this, endodontic microsurgery (apicoectomy) maybe the treatment of choice.


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