Occasionally an infection can develop or persist after root canal therapy. If this occurs, revision (retreatment) of the root canal may be required. If revision therapy is not successful in eradicating the infection, it may be necessary to surgically remove the infected root tip(s) or apex and the surrounding tissue. This procedure is known as apical micro-surgery or an apicoectomy.
Before the procedure, a thorough examination and diagnosis will be performed. On the day of surgery, local anesthetic will be administered and an incision will be made to gain access to the infected area. The entire procedure is done using an surgical operating microscope with special coaxial lighting. Once the infected area around the apex is cleaned, the tip of your root will be sealed with a material called MTA. Then resorbable sutures will be placed.
You will be given medication to alleviate discomfort and return home for the rest of the day. Most patients will have minor swelling and occasional bruising. Healing will be followed carefully until new bone has formed around the root-end and the tooth is comfortable. Your safety and comfort during all phases of treatment is a priority of our team.
We look forward to your visit. If we can be of service or to schedule an appointment, please call 301.654.6077. For non-emergencies, please send us an email, or complete the “Contact Us” form on this page.