Most often, standard root canal treatment (and possibly retreatment) is sufficient to
address dental problems associated with the root canal tissue and supporting
periodontal (gum and bone) structures. Occasionally, an endodontic surgical procedure
may be necessary to save a tooth from extraction.
The name of the most common endodontic surgical procedure is Apicoectomy:
(apico = apex or tip of the root, ectomy = to remove).
The success of standard root canal treatment and retreatment can be affected by
variations in canal anatomy. These variations may include extra canals, excessively
narrow (calcified) canals, and extreme curvatures of the canals. These variations can be
impossible to manage with standard surgical intervention. Additionally, the size of the
localized endodontic infection, the species of bacteria comprising this dental infection,
and the patient's inherent ability to heal properly after non-surgical root canal therapy
have a large impact on the necessity of endodontic surgery.
Lastly, surgical exposure can aid in the diagnosis of a cracked root or in the locating of
an accessory canal which may not appear on the radiograph and yet may be
contributing to a patient's symptoms.
For more information regarding endodontic surgery, click here.
| VILLAGE ENDODONTICS
ADAM COLOMBO, DDS, PA
A SPECIALTY MICRO-ENDODONTIC PRACTICE
7301 Mission Road
Building A, Suite 317
Prairie Village, KS 66208