Endodontic Microsurgery
Endodontic Microsurgery Cary, NC
To fully understand endodontic microsurgery, it’s useful to first know what is done with the standard root canal treatment. A root canal is necessary when the tooth’s soft tissue, called the “pulp,” becomes infected or inflamed. This can occur due to severe decay, repeated dental treatments, or trauma to the tooth. During a root canal, the damaged pulp is removed, and the tooth’s canals are cleaned and sealed to preserve the tooth.
However, there are cases where nonsurgical treatments are not enough to save the tooth. In such situations, your dentist or endodontist may recommend surgical intervention.
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Why Would Endodontic Microsurgery Be Necessary?
Endodontic microsurgery may be suggested for some of these reasons.
- Diagnosis:If you’re dealing with persistent symptoms but x-rays don’t show any clear issues, your tooth might have a small fracture or an undetected canal from earlier treatments. Microsurgery can address these hidden problems.
- Failed Healing:While most root canals are successful in preserving a tooth for life, some may not heal as intended. If pain or infection returns months or even years after the procedure, surgery may be necessary to save the tooth.
- Damage to the Root or Surrounding Bone:In certain situations, surgery might be needed to repair damage to the root surface or the surrounding bone.
- Obstructions in the Canal:Occasionally, calcium deposits can narrow the root canal, making it difficult for cleaning tools to reach the root’s tip. Microsurgery can clear and seal these previously inaccessible parts of the canal.
A common surgical procedure to save a tooth in these cases is called an apicoectomy (root-end resection).
What is an Apicoectomy?
An apicoectomy is a surgical dental procedure performed by an endodontist. The gum tissue near the tooth is gently lifted to reveal the underlying bone, allowing for the removal of any infected or inflamed tissue. The tip of the root is carefully extracted as well. A small filling is then placed at the end of the root to seal the canal, and the gum tissue is sutured back into place. Over time, the bone heals around the root’s tip, aiding in the restoration of the tooth’s health
Is the Procedure Painful?
Local anesthesia is used during the procedure to ensure that you’re comfortable. While some mild discomfort or swelling may occur during recovery, this is normal after surgery. Your dentist will prescribe medication to help manage any pain or discomfort.
How Do You Know If the Surgery Will Be Successful?
As with any surgery, there are no guarantees. However, your dentist and endodontist will recommend microsurgery because they believe it offers the best solution for your specific issue. They will explain your chances of success, helping you make an informed decision about your treatment.
What Are the Alternatives to Endodontic Microsurgery?
In many cases, the main alternative to microsurgery is tooth extraction. If your tooth is removed, you will need to replace it with an implant, bridge, or removable partial denture. These options necessitate further procedures and may involve surgical intervention on adjacent healthy teeth. Endodontic microsurgery is often a more cost-effective approach, as it preserves your natural tooth.
While tooth replacements can be highly effective, they still don’t compare to the benefits of keeping your natural tooth. Choosing endodontic microsurgery allows you to maintain the investment you’ve already made in saving your tooth, potentially giving you a healthy, fully functional tooth for the long term.
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At Zen Triangle Dentistry our trained staff and dentist can help you choose the right cosmetic options to help you find your smile.