Sometimes a tooth is so severely decayed, not even a root canal can help. This is when your Charlotte, NC, dentist Dr. Ramesh Sunar may recommend an apicoectomy.
What is a root canal?
People need a root canal when a cavity is deep enough to infiltrate the enamel and dentin, reaching the pulp, causing pain. Your Charlotte dentist will need to remove the pulp, clean and disinfect the canal from any bacteria remaining, then seal the canal to prevent any more bacteria from entering.
What is an apicoectomy?
When a root canal treatment doesn't work, you may need an apicoectomy. An apicoectomy is a minor surgical procedure. This endodontic microsurgery is performed using a microscope and other specialized tools.
When would you need an apicoectomy?
You'll need this procedure if your root canal is blocked, or inaccessible, due to:
- anatomical irregularity
Your doctor recommends this procedure only after several root canal treatments have failed. This procedure usually occurs near the apex of the root to treat persistent infections.
Most apicoectomies take approximately 30 to 90 minutes to complete and consist of the following steps:
- Diagnostic images of the tooth and surrounding bone with the use of such as X-rays.
- Review of medical history and medications used.
- Your doctor injects a local anesthesia to numb pain and a small incision is made in the gum exposing the infection.
- Infected tissue and a few millimeters of the root tip are removed.
- A dye is used to easily identify cracks or fractures easily.
- Tiny canals are examined using a microscope and light, and cleaned.
- The doctor fills the canal with an inert material and seals it with filling.
- Finally, a small bone graft is placed, the gum tissue covered and the tooth root sutured closed.
If you have any questions or concerns about apicoectomy, then call Dr. Ramesh Sunar at Charlotte Root Canal Center in Charlotte, NC today at (704) 375-4252 for more information.