If a endodontics in the past and is re-infected, often due to a problem near the root vertex. In many cases, it is considered to do a second root canal (new treatment). Endodontists (root canal specialists) can often detect other canals or accessory canals that were not treated. In this case, they may be able to cure the infection by doing a second root canal. This will avoid the need for a surgical procedure called an apicoectomy.
The surgical procedure known as an apicoectomy involves the removal of diseased tissues.
Apicoectomy is a surgical procedure in which the root tip, or apex, is removed along with the infected tissue around the apex. Through a small incision in the gum, a small bony window is created to expose the apex, then the affected part of the apex and the infected tissue are removed. After the apicoectomy, a filling is placed to seal the end of the root.
An apicoectomy may be needed when an infection develops or does not go away after a root canal or new treatment. It is done only after a tooth has received at least one root canal and the new treatment has not been successful or is not possible.
Dr. Badí Haddú will review the risks of the apicoectomy surgical procedure during the consultation visit with you. Depending on where the tooth is located, the risks of the procedure are different. If the tooth is a tooth from the back of the upper jaw, the apex and infection can spread to the sinus. If the tooth is a jaw tooth, the apex and infection may be near a major nerve. The main risk is that the surgery will not work and that it is necessary to extract the tooth.
In most cases, the procedure is completed with Local anesthesia or, in selected cases, with intravenous sedation. Dr. Badí Haddú will discuss treatment options and risks in detail during your consultation visit.