Endodontic surgery is indicated when persistent inflammation and/or infection has not responded to non-surgical treatment.
A small incision is made in the gum tissue over the involved tooth. Utilizing a surgical microscope we can visualize the root of the tooth and the surrounding bone. We remove the damaged tissue and check for fractures, blocked canals, unusual root end anatomy or small accessory canals that cannot be treated non-surgically. A small ultrasonic instrument is used to clean the end of the root canal. A filling is then placed at the end of the root to seal it. This is called an Apicoectomy with root end filling. The gums are then sutured. We monitor your healing to make sure the bone will grow back around the root.