Endodontic Microsurgery

In certain cases, a persistent infection may not respond effectively to root canal therapy. In such situations, endodontic surgery, commonly referred to as apical surgery or apicectomy, is a more suitable option. This procedure involves the removal of approximately 3mm of the root tip, along with any infected tissue, followed by the placement of a root seal to prevent further infection.

In some cases, the presence of complex restorations (eg crowns, posts etc) may limit or prevent access to the root canal space to complete root canal retreatment. Endodontic microsurgery offers a solution to remove an infected root tip without having to access the root fillings through the crown of a tooth.

At Specialist Dentistry Gold Coast, we offer precise and effective microsurgical treatments to ensure the health and longevity of your natural teeth.

What is Endodontic Microsurgery?

Endodontic microsurgery, also known as apicoectomy, involves accessing the tip of a tooth’s root to remove infected tissue and seal the root canal system. This procedure is typically recommended when non-surgical retreatment is not possible or has been unsuccessful. Microsurgery allows dentists to treat complex issues with enhanced accuracy, minimizing trauma to surrounding tissues.

When is Endodontic Microsurgery Needed?

• Persistent infection or inflammation after root canal therapy
• Fractured roots or complications from prior treatments
• Blocked root canals that cannot be accessed through conventional methods
• Removal of cysts or damaged tissue near the root tip

Your Endodontist will discuss the suitability of endodontic microsurgery with you.

Procedure

1. Consultation and Imaging: Our team conducts thorough assessments using advanced imaging to determine the best treatment approach.
2. Local Anesthesia: The area is numbed for a comfortable experience.
3. Microsurgical Access: A small incision is made, and a small flap of gum tissue is lifted to expose the root tip and remove infected tissue.
4. Sealing the Root Canal: The root end is sealed to prevent future infections.
5. Closure: The area is sutured, and healing begins.

Being a surgical procedure, endodontic microsurgery carries a longer recovery period than root canal therapy or root canal retreatment. Your Endodontist will discuss pain relief medications with you to ensure prompt recovery with minimal discomfort. It is often advised to have 1-2 days off work post surgery.