Apicoectomy

What is an Apicoectomy?

An apicoectomy is a procedure in which Dr. Lynn Pierri opens the gum tissue near the root tip (apex) of a tooth to see the underlying bone to remove inflamed or infected tissue. The very end of the root is also removed and filled to prevent future infection.

Why would I need an Apicoectomy?

When endodontically treated teeth (teeth which have had root canal treatment) begin to fail at the root tip; the result of that failure is called periapical pathology (PAP). That periapical pathology becomes encapsulated within a Radicular Cyst at the root tip and can be painful causing damage to the surrounding bone and soft tissue.  In the case of maxillary teeth, late-stage periapical pathology can spread into the sinus cavity further complicating your symptoms.  An Apicoectomy can successfully reverse the effects of periapical pathology, thus, preventing an unnecessary tooth extraction while preserving your natural teeth.

Should I have this procedure done with I.V. Sedation or General Anesthesia?

I.V. sedation is recommended for an Apicoectomy treatment. The soft tissue surrounding the area of an infection becomes acidic and can be difficult to anesthetize with local anesthetics such as Novocaine or Carbocaine.  Dr. Pierri will discuss all of your options with you so you can make an informed decision. If sedation is used; our Board Certified M.D. Anesthesiologist will place you in a restful sleep while Dr. Lynn Pierri performs the procedure.

What happens after surgery?

After surgery our Post Anesthesia Care Unit (PACU) Certified Registered Nurses will care for you in our recovery room and prepare you for your post-operative period at home. The nurse will provide you and your driver with detailed printed instructions on:
  • how and when to take you medications
  • using the provided ice-packs
  • a suggested diet to follow during your recovery period
  • when you can resume exercising
  • after-care instructions and general precautions
  • when you can start brushing your teeth and rinsing
  • and, will answer any additional questions you may have