Surgical-Endoscopy

Endodontic surgery includes any surgical procedure used to remove inflammation and/or infection from your roots and surrounding areas or to repair a given problem.

Endodontic Surgery can help maintain your tooth in situations such as:

Diagnosis.  In particular for root fractures.  If you have persistent symptoms which do not appear on a radiograph or x-ray, your tooth may have a tiny fracture.  In many cases, surgery allows the visualization of your root to determine the problem. Vertical root fractures begin at the end of the root typically and extend toward the chewing surface. They often go unnoticed until surrounding bone and gums become inflammed/infected. Treatment for a single rooted teeth is usually extraction.  Multirooted teeth may have the affected root removed in some cases. 

Unable to treat to near the end of the root. Sometimes narrow channels, calcium deposits, or extremely torturous canal systems are unable to be treated to the end.  In some cases, there are several branches near the end of the root that were not treated in the previous nonsurgical treatment(s). Unable to treat to additional canals. Due to variable anatomy, treating all the canals in a tooth can be more of a challenge then possible with today's technology nonsurgically.

Failure to heal after nonsurgical treatment. In a few cases, a tooth may fail to heal or the tooth becomes painful/diseased years after the initially successful treatment even when the original treatment is done to ideal. While there may be many reasons, it potentially may be due to a cyst that must be mechanically removed or bacteria that have embedded themselves at the end of the root causing persistent infection.