When an infection develops inside of a tooth, a root canal is commonly used to restore your oral health. During a root canal, the infected pulp and the nerve are removed from the tooth. The canals are shaped and cleaned, and the interior of your tooth is disinfected. Next, the tooth is filled with a special material known as gutta-percha, which seals the canals and prevents bacteria from getting back inside. Finally, a crown is placed on the tooth, which protects the tooth and restores its strength.
In many cases, root canals are successful. However, there are some instances in which treatment can fail, causing the need for re-treatment. Henderson Oral Surgery & Dental Implant Center can help with an apicoectomy, a form of oral surgery.
The Importance of Bone Mass for Dental Implants
When using dental implants to replace missing teeth, your jawbone plays an important role. After the implants are placed, the bone fuses to the posts, stabilizing them in your jaw. However, if you have lost too much bone mass, there may not be enough bone for proper fusion. This can result in implants that are wobbly. In some cases, your implants may not even integrate at all.
Does My Root Canal Need Re-Treatment?
A root canal generally has a very high success rate. However, there are certain situations in which your root canal can fail. As a result, you may require root canal re-treatment. Causes of root canal failure include
- Issues at the tip of the tooth root, called the apex of the tooth.
- One or more of the canals were missed during initial treatment.
- You have complex canal anatomy inside your tooth.
- Saliva may have gotten inside of the tooth during your initial treatment, resulting in contamination.
- Your crown was placed incorrectly.
- The crown was not placed in a timely fashion.
- You may have suffered an injury that led to the damage of the crown.
When a root canal fails, you may be recommended for an apicoectomy. An apicoectomy is a complex endodontic treatment that is often used as a last resort when one or more root canal treatments have failed. With an apicoectomy, your tooth can remain in its socket, preventing the need for a tooth extraction and tooth replacement.
What to Expect During an Apicoectomy
Your apicoectomy is performed under a local anesthetic. Sedation may also be provided. We first make small incisions in the gums near the root of the affected tooth. A small microscope and specialized tools are used to remove the apex of the tooth and the surrounding tissue. The end of the canal is cleaned and sealed. Next, a small fitting is placed over the canal. Its function is to help prevent a new infection from developing. Finally, the gums are sutured closed. Before you leave the office, you will be provided with specific aftercare instructions that will help you to deal with common post-surgical issues as well as how to take care of the surgical wounds. As you heal, the bone heals naturally around the treated tooth. This enables the tooth to function properly.
Benefits of an Apicoectomy
An apicoectomy provides numerous benefits. These benefits include:
- Helping to prevent the development of more serious oral health issues.
- Alleviating the pain of the infection. This can help to greatly improve your quality of life.
- Preventing the need to extract the infected tooth. By preventing a tooth extraction, your tooth can remain in its socket. You also do not need to worry about the need to replace the extracted tooth either.
If you suspect that your root canal has failed, re-treating the tooth with an apicoectomy can restore the health of your mouth and prevent the need for a tooth extraction. Call our Henderson Oral Surgery & Dental Implant Center offices at Green Valley Pkwy and St Rose Pkwy at (702)270-2999 today for more information and to schedule your appointment.