Dr. Varayini Yoganathan, BDS, DClinDent (Endo)(Otago)

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Occasionally, a nonsurgical root canal procedure alone cannot save your tooth and your endodontist will recommend apicectomy.


In this microsurgical procedure, the endodontist opens the gum tissue near the tooth to see the underlying bone and to remove any infected tissue. The end of the root is also removed and a small filling may be placed to seal the end of the root canal.


Few sutures are placed to help the tissue heal. Over a period of months, the bone heals around the end of the root.   Local anesthetics make this procedure comfortable, and most patients return to their normal activities the next day.


Below are diagrams  showing different stages of most common surgical procedure, apicectomy.  Courtesy of the American Endodontic Society.

To read more about this procedure Click here


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