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16775 Yonge Street Suite 400 Newmarket, ON L3Y 8J4(905) 830-1230

info@simondental.com

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Root Canal Surgery

Online Dental Education Library

Our team of dental specialists and staff strive to improve the overall health of our patients by focusing on preventing, diagnosing and treating conditions associated with your teeth and gums. Please use our dental library to learn more about dental problems and treatments available. If you have questions or need to schedule an appointment, contact us.

Root Canal Surgery

  • What is endodontic surgery and why would I need it?
  • Diagnosis
  • Blocked Canals
  • Unsuccessful Conventional Treatment
  • Split Root
  • Apicoectomy
  • Other types of endodontic surgery
  • Success of endodontic surgery
  • Options instead of endodontic surgery
  • Diagrams of an apicoectomy procedure

What is endodontic surgery and why would I need it?

When one option is endodontic surgery, the only other option is oral surgery to extract the tooth in question. Endodontic surgery is one of the last steps to try to save your tooth in a variety of situations.

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Diagnosis

Surgery may be used in diagnosis to allow us to examine the root of the tooth to try to find what is causing the pain and, hopefully, provide the necessary treatment. Sometimes there are symptoms but no evidence of those symptoms appears on an x-ray or by examining the tooth in your mouth.

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Blocked Canals

Sometimes calcium deposits make a canal too narrow to treat the tooth with conventional procedures used in non-surgical root canal treatment to reach the end of the root. If your tooth has this "calcification," surgery maybe needed to clean and seal the remainder of the canal from the tip of the root.

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Unsuccessful Conventional Treatment

A tooth that has undergone a root canal can usually last the rest of your life without needing further endodontic treatment. However, in a few cases, a tooth may fail to heal. The tooth may become painful or diseased months or even years after successful treatment. If this is the case, surgery may help save your tooth.

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Split Root

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

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Apicoectomy

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

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Other types of endodontic surgery

Other endodontic surgeries include dividing a tooth in half, repairing an injured root, removing one or more roots as well as performing a root canal on a newly extracted tooth and then placing the tooth back in its socket. All of these procedures are designed to try to save the tooth.

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Success of endodontic surgery

There are no guarantees with any surgical procedure but if surgery is recommended then we feel that the risk is worth the benefit. Our goal is to provide you with information so that you can make an informed decision that is best for your long term health.

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Options instead of endodontic surgery

Often, the only alternative to surgery is extraction of the tooth. The extracted tooth must then be replaced with an implant, bridge, or removable partial denture to restore chewing function and to prevent adjacent teeth from shifting. Because these alternatives require surgery or dental procedures on adjacent teeth, which might not otherwise require treatment, endodontic surgery is usually the most cost-effective and conservative option for maintaining your oral health.

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Diagrams of an apicoectomy procedure

In this procedure, an opening is made on the gum tissue near the tooth to see the underlying bone and to remove any inflamed or infected tissue. The very tip of the root is also removed. A small filling is usually placed to seal the tip of the root so nothing enters into the canal from inside the body, and a few stitches or sutures are placed in the gum to help the tissue heal properly. Over a period of months, the bone heals around the end of the root.

A tooth with an infection at the root tip

A tooth with an infection at the root tip

The procedure is completed

The procedure is completed

n apicoectomy procedure is performed

An apicoectomy procedure is performed

After a few weeks, the bone around the tooth has healed

After a few weeks, the bone around the tooth has healed


Patient Education

Patient Education Menu
  • Dental Services
    • Cleanings and Prevention
      • Bruxism and Mouthguards
      • Fluoride Treatments
      • Sealants
    • Cosmetic Dentistry
      • Bonding
      • Bridges
      • Crowns
      • Dentures
      • Fillings
      • Implants
        • Single Tooth
        • Multiple Teeth
        • All Teeth
      • Inlays and Onlays
      • Lumineers
        • Lumineers FAQ
        • Before and After
        • Perfect Smile
        • Lumismile
      • Teeth Whitening
      • Veneers
    • Gum and Bone
      • Bone Grafting
      • Cleanings and Prevention
      • Crown Lengthening
      • Frenectomy
      • Gum Tissue Graft
      • Perio Plastic Surgery
      • Ridge Augmentation
      • Scaling and Root Planing
      • Sinus Lift
    • Oral Surgery
      • Fractured Teeth
      • MDI Mini Dental Implants
      • Oral Cancer Exams and Biopsies
      • Pericoronitis
      • Wisdom Teeth
    • Orthodontics
      • ClearCorrect
      • Common Orthodontic Treatment
      • Craniofacial Orthodontics
      • Invisalign
      • Living with Braces
      • Myths and Fact About Orthodontics
      • Orthodontic FAQ
      • Orthodontic Glossary
      • Orthodontic Treatment for Children
      • Post Op Care of Extractions
      • Retainers
      • Six Month Smiles
        • Six Month Smiles FAQ
      • Space Maintainers
      • Surgical Orthodontics
      • Treatment for Adults
      • Treatment for Children
      • Two-Phase Orthodontic Treatment
      • Types of Appliances
      • Types of Braces
    • Pedodontics
      • Pulpotomy
      • Sealants
    • Root Canal
      • Knocked Out Tooth
      • Root Canal FAQ
      • Root Canal Surgery
      • Traumatic Injuries
    • Sedation Dentistry
    • TMJ
  • Patient Information
    • Dental Glossary
    • Development of the Teeth
    • FAQ
    • Fun Links for Kids
    • Patient Education
      • Acid Experiment
      • ANUG Trench Mouth
      • Bad Breath
      • Bruxism Tooth Grinding
      • Chemo and Your Mouth
      • Conditions of the Tongue
      • Dental X Rays
      • Denture Care
      • Dry Mouth
      • Fluoride Experiment
      • How to Brush
      • How to Floss
      • How to Read X Rays
      • Oncology Guide
      • Smokeless Tobacco
      • Tooth Anatomy
      • Tooth Sensitivity
      • Toothpaste Ingredients
    • Post Op Instructions
      • Crowns and Bridges Post Op
      • Dentures Post Op
      • Extractions Post Op
      • Fillings Post Op
      • Gum Surgery Post Op
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    • Teeth Trivia
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  • Smile Gallery
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  • Technology
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Our Location

16775 Yonge Street Suite 400
Newmarket, ON L3Y 8J4
(905) 830-1230

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Office Hours
Monday:9:00 AM - 8:00 PM
Tuesday:7:30 AM - 8:00 PM
Wednesday:7:30 AM - 5:00 PM
Thursday:8:00 AM - 8:00 PM
Friday:8:30 AM - 4:00 PM
Saturday:8:00 AM - 2:00 PM
Sunday:Closed
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