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 the philosophy at Lake Cumberland Endodontics that where possible non-surgical retreatment is the first treatment option. When retreatment is not possible, root canal surgery is necessary to save the tooth. This procedure is called an apicoectomy.

You have been referred to Lake Cumberland Endodontics because Dr. Cheuvront had received advanced training in performing endodontic surgeries and is able to perform the apicoectomy efficiently, while maintaining the highest level of infection control, quality and patient comfort. Dr. Cheuvront is a Diplomate of the American Board of Endodontics. This ensures the highest quality of care for patients and demonstrates an exemplary level of knowledge, understanding, and clinical expertise in endodontics.

In this procedure, the gum tissue near the tooth is opened to expose the underlying bone and root of the affected tooth. The infected tissue at and around the end of the root and the root tip will be removed. A small filling will then be placed 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.

AAE Video: Apicoectomy

This video was created for the American Association of Endodontists and is 2:14 minutes in length.