What is the most common procedure in surgical endodontics?

Dante A. Gonzales, DMD
Orthodontics & Dentofacial Orthopedics
There are many surgical procedures that can be performed to save a tooth. The most common is called an apicoectomy, or root-end resection, which is occasionally needed when inflammation or infection persists in the bony area around the end of the tooth after a root canal.
The most common endodontics procedure is the root canal, which is necessary when the soft tissues inside your teeth become inflamed or diseased. During root canal treatment, your dentist or endodontist (a dentist who specializes in treating the insides of teeth) removes the diseased pulp. The pulp chamber and root canal(s) of the tooth are then cleaned and sealed. If the infected pulp is not removed, pain and swelling can result, and your tooth may have to be removed.
A root canal is the most common procedure in endodontics, and it is a surgical procedure. Another surgical procedure in endodontics is an apicoectomy, where the tip of the infected root is removed (only on a tooth that has already had root canal), and the area is stitched up for healing. A filling can also be placed in the sectioned root tip. In most cases, having a root canal retreated (or redone) will provide a better outcome than an apicoectomy.
The most common procedure in surgical endodontics, or root canal, is apicoectomy, is a surgery that removes the inflamed root at the end of your tooth. During the procedure, gum tissue is opened up to expose bone and remove infected tissue and the end of the tooth's root. After a few stitches to close up your gum tissue, your dentist may cover the end of the root canal with a small filling. Your bone should heal around the end of the root.

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