Endodontic surgery (Apicoectomy)

Sometimes, after a tooth has had root canal therapy, disease remains in the bone surrounding the end of the root. This residual disease can be caused by cracks in the root tip, an inadequate seal, persistent bacteria and incomplete cleaning of the root canal space. It is Dr. Burkett's philosophy that when possible non-surgical re treatment is the first treatment option. When re treatment is not possible, root canal surgery is necessary to save the tooth. This procedure is called an apicoectomy.

You have been referred to Dr. Burkett because he is a board certified Endodontist who has a lot of experience performing endodontic surgeries. He is able to perform the apicoectomy efficiently, while maintaining the highest level of infection control, quality and patient comfort.

In this procedure, Dr. Burkett will open the gum tissue near the tooth to expose the underlying bone and root of the affected tooth. He will remove the infected tissue at and around the end of the root, cut off the root tip and remove the end of the root and place a small filling in the end of the root to provide a seal.

While surgical root canal procedures use different instruments, the goal is the same as in the non-surgical root canal procedure - to make the tooth disease free and to preserve the natural tooth for years of future service. The microscope used in both procedures and during surgery is helpful in locating and eliminating cracks, unusual root anatomy and visualizing and obtaining a sufficient seal. Local anesthetics and modern techniques make this procedure comfortable for you the patient, and most patients return to their normal activities the next day.