What is An Apicoectomy?

Apical surgery, also known as an apicoectomy or root-end surgery, is a specialized procedure designed to address issues at the tip of a tooth’s root. When a root canal is unsuccessful in eliminating an infection or resolving inflammation, this endodontic surgery becomes a valuable solution. During the procedure, Dr. Miner removes the root tip and the surrounding infected tissue. The area is then cleaned, sealed and restored to prevent future complications. This treatment is focused on preserving the natural tooth while ensuring your oral health is protected.

Apical surgery is precise and minimally invasive, allowing Dr. Miner to target and treat the problem area without causing unnecessary disruption to the surrounding structures. It is often recommended when traditional root canal retreatments are no longer effective, offering relief from persistent discomfort and reducing the risk of further dental issues.

When is Endodontic Surgery Needed?

Endodontic surgery, such as an apicoectomy, is typically recommended when an infection persists despite previous root canal therapy. Sometimes, complex root structures, small fractures or hidden canals may not be detectable with standard imaging, making surgery necessary to fully address the problem. You may require this procedure if you experience symptoms such as:

  • Persistent pain
  • Swelling
  • Infection near a previously treated tooth

In some cases, apical surgery can also be preventative, addressing potential issues before they escalate. Dr. Miner will evaluate your unique circumstances using the 3D Seiler surgical microscope, including the condition of the tooth, the extent of the infection and your overall oral health, before recommending this specialized procedure.

Are There Alternative Treatment Options?

While an apicoectomy is an effective solution, alternative treatments may be considered depending on the situation. Retreatment of a previous root canal may be an option if the infection is accessible and can be fully resolved. Extraction and replacement with a dental implant may also be recommended when a tooth is severely compromised and cannot be saved.

Dr. Miner will discuss these options with you, weighing the benefits and potential risks to help you make an informed decision. The goal is to preserve your natural teeth whenever possible while ensuring long-term oral health.

Schedule A Consultation

Contact Durango Laser Dentistry today at 970-247-2677 for more details about apical surgery in Durango, Colorado, and to schedule your consultation with our experienced dentist, Dr. Mason Miner.

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