CALL TODAY
For many people, the term “root canal” can cause a lot of anxiety. This is understandable, considering the numerous myths and fears associated with root canal treatments.
However, a root canal is a common dental procedure designed to save a severely damaged or infected tooth, and the vast majority of patients report little to no pain during the procedure itself.
That being said, sometimes a root canal procedure does not work as well as it should, necessitating further treatment. This is where an apicoectomy (also called root end surgery) and root canal retreatment come into play.
In this article, we will explore both apicoectomy and root canal retreatment, what their procedure involves, and why they might be necessary.
Root Canal Retreatment and Its Procedure
Root canal retreatment is often the first choice when a tooth fails to heal properly after a root canal or if an infection reoccurs. The procedure is similar to the initial root canal treatment.
It involves removing the crown or filling, taking out the root canal filling material, cleaning the root canals, looking for any additional canals or new infections, refilling the canals, and then placing a new crown or filling.
When is Root Canal Retreatment Recommended?
Root canal retreatment is necessary when:
- The tooth does not heal as expected after the initial root canal treatment.
- There is a delay in placing a crown after initial treatment.
- The initial treatment was not done correctly.
- New damage occurs after an initial treatment.
What is an Apicoectomy?
An apicoectomy, also known as root-end resection, is a surgical procedure performed by an endodontist. It involves removing the tip of a tooth’s root, known as the apex, and then placing a root-end filling to prevent reinfection.
When is Apicoectomy Necessary?
An apicoectomy, or root end surgery, is performed by your endodontist for several reasons. The most prevalent reason is to save a tooth that has previously undergone a root canal treatment.
While root canals are typically successful and last a lifetime, in certain instances, the tooth might not heal appropriately and become reinfected. In such a situation, where the tooth is reinfected and root canal retreatment is not an option, an apicoectomy is employed to eliminate the damaged tissue, thereby preserving the tooth, and preventing extraction.
You may also require a root-end resection or apicoectomy to:
- Eliminate calcium buildups in the root canal.
- Identify and address issues that are not visible on X-rays.
- Treat a fracture.
- Treat with a tooth possessing extra roots that cannot be treated otherwise.
- Address bone loss leading to loosening teeth.
- Excise a root that contains a hole.
Apicoectomies are also frequently utilized for treating dental injuries in children. If a child’s tooth is fractured or cracked following an impact, this procedure could potentially save the tooth.
Apicoectomy Procedure and Recovery
The apicoectomy procedure takes approximately 30-90 minutes, depending on the complexity of the root structure and the location of the tooth.
The endodontist will start the procedure by numbing the area with local anesthesia. A small incision is then made in the gum tissue to expose the bone and surrounding inflamed tissue. The damaged tissue and the end of the root tip are removed, and a root-end filling is placed to prevent reinfection. The gum is then sutured back into place.
Endodontics in Eugene, OR
Root canal retreatment and apicoectomy are two different procedures used to treat a tooth that has not healed as expected after a root canal treatment. The right treatment option depends on the specifics of your case and should be determined in consultation with your dental professional.
If you think you might have an oral problem that might need an endodontic treatment and are looking for a highly trained and compassionate endodontist in Eugene OR, look no further. At 360 Dental, our highly trained and compassionate family dentist Dr. Ari Binder has a wealth of experience in treating a wide array of dental and oral problems.
Whether it is your child’s first dental visit, or you are in need of an advanced procedure like a dental implant or root canal, we are committed to providing the highest quality dental care in the most relaxing setting. At our dental clinic, we offer a wide range of services including everything from routine cleanings and exams to dental implants and emergency tooth extractions.
Plus, if you are seeking that perfect smile, Dr. Binder’s expertise extends to custom teeth whitening and veneer application.
Are you ready to take the first step towards a healthier smile? Call us today at (541) 689-1645 or request an appointment using our request form. We look forward to serving you!
