Microsurgery/Apicoectomy

Why Would I Need Microsurgery/Apicoectomy?

In most cases root canal therapy or retreatment is all that is needed to save your tooth from extraction. In a small percentage of cases, microsurgery surgery may be necessary. Some examples of situations where microsurgery may be indicated are: broken files left behind in the canal, large posts placed inside the root, difficult and complex anatomical curvatures and variations of the root, and persistent cysts. Dr. Graham will be able to explain your treatment options further and help you make the best decision for your individual situation.

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What Is Microsurgery/Apicoectomy?

During microsurgery, Dr. Graham accesses the end of the root by making an incision in the gum tissue. A high-power dental operating microscope is used to identify the root-end and abscess tissue. Very small ultrasonic instruments are then used to clean and prepare the end of the root. A special bio-compatible material is then placed in the preparation at the end of the tooth root to seal off the canal space. The gums are then sutured back in place.  This is a very simple and effective procedure that is done under local anesthetic in about an hour’s time.