In a few cases, root canal (nonsurgical endodontic) treatment alone cannot save the tooth. In such a case, your dentist or endodontist may recommend surgery.
Endodontic surgery can help save your tooth in a variety of situations.
Endodontic surgery usually takes less than 30 minutes and is is successful most of the time.
Treatment depends on the cause of failure and still another chance on maintaining the tooth.
The most common Endodontic surgery is root end resection with root end filing also known as 'apico' or apicoectomy and retrofill.
Indications for Endodontic Surgery
Are the newest type of filling in common usage.
They are commonly known as white fillings. They are a porcelain/plastic hybrid that is bonded directly to the cavity preparation.
Composite fillings were created as an alternative to traditional metal dental fillings.
They are colored to look like natural teeth and are more esthetically pleasing than amalgam or gold fillings.
They are also strong, durable, and make for a very natural looking smile.
With a composite filling, your dentist will be able to preserve more of the natural tooth as the composite resin can be bonded to the tooth in thin layers and slowly built up to form a complete filling.
The composite bonds to further support the remaining tooth structure helping to prevent breakage and damage to your tooth.
They look more natural as they are color blended to match your natural tooth color.
These fillings are often used to improve the appearance of misshapen, chipped or discolored teeth. \
Composite fillings last from six to twelve years or more.
The procedure usually takes just one visit to your dentist.
There is very little sensitivity to hot or cold items, often experienced with amalgam fillings.
The dentist won't need to drill as much of the tooth structure as the composite is applied in layers.
Composite resin fillings require more time to apply than amalgam fillings.
As a result of the time required there is an increased cost for placing composite fillings.
Once your filling is completed, your dentist will use a special articulating paper, to adjust the height of your dental filling and to ensure that your bite remains correct.
Your tooth is then polished.
If such a filling is not going to be enough to protect your damaged tooth, or if your tooth enamel is thin and will easily fracture, or if your tooth has had a root canal that weakened your tooth condition, your tooth may require additional protection such as a crown.
You often can save the patient a lot of time and money with apical surgery. It is often quicker and more cost effective to do an apicoectomy and retrofill than to remove and replace a post, core, and crown.
- 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 healthy teeth, endodontic surgery is usually the most biologic and cost-effective option for maintaining your oral health.
- No matter how effective modern artificial tooth replacements are—and they can be very effective—nothing is as good as a natural tooth.
- You've already made an investment in saving your tooth. The pay-off for choosing endodontic surgery could be a healthy, functioning natural tooth for the rest of your life .