Endodontic microsurgery, more formally referred to as apicoectomy (also known as root end surgery), is performed to restore function and save a tooth after inflammation or infection persists or develops after a root canal. Unlike a root canal, an apicoectomy is a surgical approach through the gums rather than the crown of the tooth. If a root canal or root canal retreatment in Williamsport, PA doesn’t resolve pain and inflammation in your tooth, an apicoectomy is typically the next step to save the tooth. In most cases, we’ll suggest an apicoectomy only after we determine through digital X-rays and a CBCT scan that your tooth can be saved. Most apicoectomies can be performed in 30 to 90 minutes, depending on the location of the tooth and the complexity of your root structure. Reasons why our endodontists may recommend an apicoectomy in Williamsport, PA, include:
- Tooth pain that persists after root canal treatment
- Tooth gets re-infected years after a root canal
- Root surface or surrounding bone incurs damage
- Calcium deposits related to trauma or aging prevent doing a root canal
- Persistent inflammation and infection directly after a root canal due to new or recurrent decay
- Previously undetected extra canals branching from the primary canal at the root end
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