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Root Canal Microsurgery
Why would I need surgery?
Generally, root canal therapy is very successful in saving the tooth. Sometimes, however, root canal therapy cannot be done or is not enough to save the tooth. In those cases Root Canal Microsurgery (Apicoectomy) is required instead of or in combination with root canal treatment. Surgery may also be needed to diagnose certain conditions, such as tooth fractures, and to treat damaged root surface or surrounding bone.

What is Microsurgery (Apicoectomy)?
In this procedure, the endodontist opens the gum tissue near the tooth to see the underlying bone and to remove any inflamed or infected tissue. The very end of the root is also removed.

A small filling may be placed in the root to seal the end of the root canal, and a few stitches or sutures are placed in the gingiva to help the tissue heal properly.

Over a period of months, the bone heals around the end of the root.

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