An apicoectomy is an oral surgical treatment performed when a patient has an infected tooth root. This infection can develop in either the front teeth, which have one root, or at the back of the mouth in the premolars and molars, which have two or more roots. Infections inside the tooth root occur deep within the canal of the root, which acts as a roadway for nerves and blood vessels between the tip of the root (the apex) and the inside of the crown, also known as the pulp chamber. Because these parts of the tooth are all internal, signs of infection cannot always be seen from the outside.
Root canal therapy can often solve the problem of an infection within the tooth root. However, if the tooth develops another infection after treatment, an apicoectomy is usually recommended. Also known as endodontic microsurgery, this treatment ensures that the tooth root does not develop additional infections or complications.
Why do I need an apicoectomy?
The purpose of an apicoectomy is to relieve any problems with the infected tooth root before the patient loses the tooth.
Some of the most common reasons an apicoectomy may be recommended include
- The presence of curved or narrow root canals: Root canal therapy may not be successful in teeth with curved or narrow root canals because the shape prevents the dentist from properly caring for the infected area. If this is the case, continued infection can occur, and an apicoectomy may be recommended.
- Small root branches: The small branches that connect to the tooth root and keep it anchored solidly within the jaw can be difficult to clean and seal during root canal therapy due to their size. This can result in continued inflammation, and an apicoectomy may be recommended.
- A block in the root canal: In some cases, when a tooth has already undergone root canal therapy once, debris from the procedure may block the root canal. When the dentist attempts a second root canal, he or she may find the canal blocked, and an apicoectomy may be necessary to take care of the problem.
Your dentist will refer you to an oral and maxillofacial surgeon if you are in need of an apicoectomy. Before treatment, your surgeon will perform an oral examination and possibly take additional X-rays or 3D scans to develop the safest and most efficient method for solving the problem. If your dentist determines you are in need of an apicoectomy, we encourage you to contact our office.
Where can I get an apicoectomy in Monroe County, PA?
At Monroe Oral Maxillofacial & Implant Surgery, we offer a wide variety of oral and facial surgery services, including apicoectomy procedures. Dr. Matthew Poore and his highly skilled team serve all of Monroe County, including East Stroudsburg, Stroudsburg, Marshalls Creek, Tannersville, Bartonsville, Bangor, Bushkill, Brodheadsville, Tobyhanna, Sciota, Saylorsburg, Nazareth, Swiftwater, Mt. Pocono, Reeders, Mt. Bethel, Cresco, Blakeslee, Pocono Summit, Effort, Kresgeville, Kunkletown, Pen Argyl, Hazelton, PA, and Blairstown, NJ.