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Surgical Endodontics in Cambridge

We offer Surgical Endodontic Procedures and have a very experienced team

Have a look at our Apicoectomy Leaflet:

Why would I need Endodontic Surgery?

•Surgery can help save your tooth in a variety of situations.

•Surgery may be used in diagnosis. If you have persistent symptoms but no problems appear on your x-ray, your tooth may have a tiny fracture or canal that could not be detected during nonsurgical treatment. In such a case, surgery allows your endodontist to examine the entire root of your tooth, find the problem, and provide treatment.

•Sometimes calcium deposits make a canal too narrow for the instruments used in nonsurgical root canal treatment to reach the end of the root. If your tooth has this “calcification,” your endodontist may perform endodontic surgery to clean and seal the remainder of the canal.

•Usually, a tooth that has undergone a root canal can last the rest of your life and never need further endodontic treatment. However, in a few cases, a tooth may not heal or become infected. A tooth may become painful or diseased months or even years after successful treatment. If this is true for you, surgery may help save your tooth.

•Surgery may also be performed to treat damaged root surfaces or surrounding bone.

Although there are many surgical procedures that can be performed to save a tooth, the most common is called apicoectomy or root-end resection. When inflammation or infection persists in the bony area around the end of your tooth after a root canal procedure, your endodontist may have to perform an apicoectomy.

What is an 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. Apicoectomy

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. Endodontic Surgery Root End Filling

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

Reimplantation of Teeth

The difference between saving and losing a knocked out tooth, is the thirty minutes following the incident.

To save the tooth, follow these steps:

•Rinse the tooth gently in tap water by holding the crown of the tooth
•Avoid scrubbing the tooth
•Insert the tooth into the empty socket quickly
•If you are uncomfortable inserting the tooth, put the tooth in milk or water Get to the dentist or endodontist immediately

If the tooth can be reimplanted into its socket within 30 minutes following the incident then your endodontist will delay the root canal treatment for 2 weeks in order to stabilise the tooth. If more than an hour has elapsed root canal treatment will be performed prior to Reimplantation However the prognosis is such cases is guarded due to future root resorption and eventual loss of the tooth.

The Endodontist might perform include dividing a tooth in half in order to eliminate a furcation involvement, repairing an injured root, or even removing one or more roots. The Endodontist will be happy to discuss the specific type of surgery your tooth requires.

In certain cases, a procedure called Intentional Replantation may be performed. In this procedure, a tooth is extracted, treated with an endodontic procedure while it is out of the mouth, and then replaced in its socket.

These procedures are designed to help you save your tooth.