If your root canal procedure resulted in more nerve pain than you bargained for, Dr. Lombardo is available to help you ease your pain. Infected and inflamed soft tissue around the root of a tooth can be exceptionally painful and debilitating to the patient. But why does this occur?
Your teeth are held firmly in place by strong roots that extend into the jawbone. Molars and premolars tend to have several roots, whereas the front incisors only have one. The end or tip of each root is called the apex. This is where the nerves and blood vessels enter the tooth, and aids in the delivery of blood to the crown (the part of the tooth you can see in your mouth).
A root canal treatment refers to the cleaning of those canals and the removal of infected and inflamed tissue within the root. When the inflammation or infection persists after the root canal treatment, an apicoectomy may be required. An apicoectomy is essentially the removal of the apex (or root tip), followed by a filling procedure to seal the root from further infection. When left untreated, infected roots can damage other teeth, spread infection, and cause regression of the jawbone.
The purpose of an apicoectomy is to eliminate the infection in the tissue and to ultimately preserve the function of the tooth and save it from extraction. A dentist will rarely consider an apicoectomy, unless a prior root canal treatment has failed.
There are several reasons why an apicoectomy may be necessary:
Prior to the surgery, the dentist will generally prescribe an antibiotic or anti-inflammatory medication to treat the underlying infection. Panoramic x-rays will then be taken to enable the dentist to plan the apicoectomy, which will be performed under local anesthesia.
The dentist will make a small incision in the gum and expose the root by lifting away the gum. In some cases, a tiny fraction of the jawbone may be removed to properly expose the root. The edge of the root tip and any infected connective tissue will be removed using ultrasonic instruments. The root will be sealed using a retrofill (filling material) and the dentist will suture the gum with several stitches.
This surgery does not require an overnight stay and aftercare instructions and pain medications will be provided as needed. After several days, the dentist will remove the stitches and the connective tissues will fully heal several months after the procedure.
If you are experiencing any signs or symptoms, such as pain or swelling associated with a tooth that has had a root canal, we encourage you to contact our office immediately to schedule an appointment.
Our team is here to ensure that you’re seen in a timely manner and that we effectively assist you in finding relief.
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