What Is Endodontic Microsurgery and When Is It Needed to Save a Tooth?

If you have tooth pain that persists even after root canal treatment, our experienced endodontist at Oak Creek Endodontics may recommend endodontic microsurgery to treat the infection at its source. The procedure can save a tooth that may otherwise require extraction. Our goal is always to preserve natural teeth whenever possible, relieve your discomfort, and restore your healthy, functional smile.

What Is Endodontic Microsurgery?

Endodontic microsurgery, also known as apicoectomy or root end surgery, involves the removal of the root tip (apex) and any inflamed or infected tissue. The procedure may be recommended when an infection persists after root canal therapy or endodontic retreatment, helping give the affected tooth a second chance. Moreover, it helps prevent the infection from affecting your neighboring teeth and the surrounding bone and impacting your overall health.

Endodontic microsurgery is an intricate process requiring the specialized training, precision, and skill of an endodontist. With today’s advanced 3D imaging technology, high-powered surgical microscopes, ultrasonic instruments, and irrigation systems, the procedure’s success rates are higher than ever.

Are You a Candidate for Endodontic Microsurgery?

Our endodontist may recommend endodontic microsurgery in the following cases:

  • Persistent or recurring infection after a root canal treatment 
  • Root canal retreatment did not fully resolve the infection
  • 3D imaging evidence of bone loss at the root tip
  • Complex anatomy that interferes with nonsurgical retreatment
  • Severe calcium deposits or blockages that prevent standard instruments from reaching the root canals
  • Suspected microscopic fractures or hidden accessory branches near the base of the tooth root

Our endodontist will evaluate your unique needs and recommend the most conservative solution to save the affected tooth.

How Does an Endodontic Microsurgery Differ from a Root Canal Treatment?

Root canal therapy is the most commonly performed endodontic treatment today. It involves making a small opening in the tooth’s crown to access and remove infected and inflamed pulp tissue from the root canals, using high-powered microscopes, ultrasonic instruments, and advanced irrigation systems. Next, our endodontist will clean and reshape the space and fill the root canals with a rubber-like substance called gutta-percha to prevent reinfection. The last step is sealing the space with a bioceramic filling. After your root canal, your general dentist typically places a dental crown to protect the treated tooth and restore its appearance and function.

When it comes to endodontic microsurgery, our endodontist will access the infection through a small incision near the tooth roots rather than through the crown. Using the latest endodontic technology, she will remove the infected tissue, clean the root end, and seal the affected root with a bioceramic material to support healing and prevent reinfection. 

Endodontic Microsurgery Near Me in San Antonio, TX

If you have pain or discomfort after root canal therapy or retreatment, contact Oak Creek Endodontics to schedule a consultation. Our experienced endodontist may recommend endodontic microsurgery to save the affected tooth and restore your pain-free smile.

Ready to experience the Oak Creek Endodontics difference? We invite you to call us today at (210) 346-8968 or request an appointment online.