Surgical endodontics refers to any procedure that requires surgery to save the tooth. One of the most common surgical endodontic procedures is an apicoectomy. If a root canal has failed or would not be an effective treatment, an apicoectomy is an alternative option.
What exactly is an apicoectomy and how long does it take? If your dentist or endodontist has recommended an apicoectomy as the next course of treatment for you, here’s what you need to know.
What is an Apicoectomy?
Sometimes called apical surgery, an apicoectomy is a procedure that treats the root of your tooth. Unlike a root canal that only requires a small hole to be made in the tooth, an apicoectomy requires access to the tip of the tooth root under the gums. This is what categorizes the procedure as surgical.
During an apicoectomy the tip of the root is removed and any diseased tissue around it. Then a filling is placed over the root tip to seal it off from bacteria and prevent infection. The gum tissue is sutured back into place afterwards.
Average Length of an Apicoectomy Procedure
An apicoectomy may take anywhere from 30 to 90 minutes. On average you can expect it to take at least 45 minutes from start to finish. How long will your procedure actually take? It’s difficult to know for sure, but your endodontist can give you an estimate based on their knowledge of your case and past experience.
Factors That Affect the Duration of an Apicoectomy
- Complexity. The overall complexity of the apicoectomy for your case will affect the length of the procedure.
- Amount of damage. The extent of the damage and diseased tissue on and surrounding the tooth will have an effect on the total time you’ll spend in the chair.
- Number of teeth being treated. If you have more than one tooth that needs to be treated, each additional tooth will add to the total length of the procedure.
- Anesthesia/Sedation. Most apicoectomies can be done with local anesthesia. However, if sedation is used for more complex cases or patients who request it due to anxiety, the time spent at the dental office may be longer.
Frequently Asked Questions About Apical Surgery
Is it worth it to get an apicoectomy?
If your natural tooth can be saved with an apicoectomy, it is in the best interest of your oral health and your wallet. Dental prosthetics are costly and may not provide the same function as your natural teeth.
Will I be put to sleep for an apicoectomy?
You do not have to be sedated for an apicoectomy, but some patients opt for some type of sedation if they are feeling anxious. In the majority of cases patients remain awake with local anesthesia to prevent any discomfort.
Learn More About Apicoectomies From Eagle Endodontics
If your dentist has recommended endodontic treatment or if you have a tooth that hurts, the experts at Eagle Endodontics can assess the situation and determine the best course of treatment to save your tooth.
Contact us today to learn more and schedule an appointment at the office location that is most convenient for you.