Surgical Root Canal Therapy

What is Surgical Root Canal Therapy?

Surgical root canal therapy, also known as endodontic surgery or apicoectomy, is a procedure used when infection or inflammation persists after initial root canal treatment. This surgery involves removing the tip of the tooth root, cleaning the area to eliminate infection, and then sealing it to prevent future issues. This method can effectively address complex cases and preserve the natural tooth.

In some cases, non-surgical root canal therapy alone may not be enough to fully address the issues within a tooth. Surgical root canal therapy offers an advanced solution to save a tooth and relieve discomfort when conventional treatments aren’t sufficient. At Chilliwack Endodontics, we specialize in providing precise and comfortable surgical options to restore your dental health.

Why Might Surgical Root Canal Therapy Be Necessary?

Surgical root canal therapy may be recommended for a variety of reasons:

  • Persistent Infection: If infection continues or recurs after non surgical root canal therapy, surgery can provide a more thorough treatment.
  • Missed or Narrow Canals: Small or curved canals that were undetectable during initial treatment may harbor bacteria.
  • Bone Damage: Infection can sometimes lead to bone damage around the root, which requires a more intensive treatment to heal.
  • Fractures or Cracks: Surgical intervention may be necessary when the tooth root or surrounding area is compromised.

What to Expect During the Procedure

  1. Comprehensive Examination: We start with a full assessment, including X-rays, to pinpoint the exact issue and determine the best surgical approach.

  2. Local Anesthesia: The area around the affected tooth is numbed to ensure maximum comfort during the procedure.

  3. Root Tip Removal (Apicoectomy): The tip of the root is carefully removed, and any infected tissue is eliminated to prevent future infections.

  4. Cleaning and Sealing: The end of the root is thoroughly cleaned and sealed with a biocompatible material to close off the area and stop bacteria from re-entering.

  5. Suturing and Healing: The gum tissue is sutured to facilitate healing, and post-operative care instructions are provided to ensure a smooth recovery.

Benefits of Surgical Root Canal Therapy

  • Relief from Persistent Pain: Provides a solution for ongoing discomfort that didn’t resolve with initial treatment.
  • Preservation of Natural Tooth: Avoids the need for extraction, allowing you to retain your original tooth.
  • Long-Term Health: By thoroughly addressing infection, surgical therapy promotes lasting oral health and stability.

Aftercare and Recovery

After surgical root canal therapy, following proper care instructions is essential for a smooth recovery:

  • Pain Management: Mild swelling and discomfort are common; over-the-counter pain relievers and cold compresses can help.
  • Avoid Certain Foods: Stick to soft foods and avoid chewing on the treated side until fully healed.
  • Oral Hygiene: Gently brush and rinse as directed, keeping the area clean without disturbing the sutures.
  • Follow-Up Appointments: Regular follow-ups help monitor healing and ensure that the infection has been fully resolved.
Female patient with open mouth receiving surgical root canal treatment from dentist using specialized tools.

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Surgical root canal therapy can feel daunting, but you’re in skilled, compassionate hands at Chilliwack Endodontics. Our dedicated team is here to make sure your treatment is as gentle and reassuring as possible. Reach out today to schedule your appointment, and let us help you feel confident and supported every step of the way.