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Home What is the Difference Between an Apicoectomy and a Root Canal?

What is the Difference Between an Apicoectomy and a Root Canal?


What is the difference between an Apicoectomy and a root canal.Endodontics is the branch of dentistry that focuses on the study and treatment of the dental pulp inside the tooth enamel, as well as the tissues that surround the roots of the tooth. Root canals are the most well known endodontic procedure. A root canal procedure removes infected or damaged pulp to offer tooth pain relief, prevent further issues such as a dental abscess, and to save the natural tooth from extraction. The practice of endodontics requires precision and expertise because it requires navigating the intricate and narrow root canals within the teeth. Modern endodontic treatments use advanced technologies to enhance the accuracy and success of endodontic procedures. Our endodontist here at Duggan Endodontics strives to preserve natural teeth and alleviate pain, in order to promote better oral health for our patients, and improve their quality of life. We do this through root canal procedures, apicoectomies, and other endodontic procedures as needed.

Root Canal Therapy


Root canal therapy, the most common endodontic therapy, is a dental procedure that relieves dental pain by removing the decay and infection within a tooth's pulp, and also saves the patient's natural tooth from extraction. The procedure starts with removing the damaged or infected pulp from within the tooth, we then clean and disinfect the root canal, and finally, our team fills and seals the space to prevent further tooth infection and decay. A crown is often placed after the root canal to protect the altered tooth. Root canal treatments alleviate dental pain and tooth ache, they prevent the need for tooth extraction, all while preserving the natural tooth's structure and function.

Modern root canal therapy is performed using advanced techniques and technologies that enhance precision and patient comfort. Despite its reputation, a root canal procedure is no more uncomfortable than getting a cavity filled, and eliminates the pain of infected pulp. Root canal therapy is a highly effective way to address a serious and painful dental issue that may grow into a much larger tooth infection, including dental abscesses. It alleviates tooth ache, preserves and protects the natural tooth, and renews dental health overall.

What is an Apicoectomy?


An apicoectomy is a minor surgical procedure performed by an endodontist to remove the tip of a tooth's root (apex) and seal the end of the root canal. It is typically done when a previous root canal treatment has failed, and there is persistent infection or inflammation around the root tip that cannot be resolved with retreatment.

Why is an Apicoectomy Needed?


Reasons for needing an apicoectomy may include:
•  A previous root canal did not fully eliminate the infection
•  A reinfection has occurred, and retreatment is not effective
•  The root structure is too complex for a traditional root canal retreatment
•  A cyst or persistent inflammation is present near the root tip

How is an Apicoectomy Performed?


To perform an apicoectomy, local anesthesia will first be administered to numb the area. A small incision is made in the gum near the affected tooth to expose the root. The infected root tip and surrounding tissue are carefully removed. A small filling is placed at the end of the root to seal it. The gum is sutured, and healing begins.

Recovery and Healing After an Apicoectomy Procedure


After your apicoectomy, you can expect mild swelling and discomfort for a few days. Stitches are usually removed within a week.
Be aware that complete healing of the bone may take a few months, so try to be patient. An apicoectomy is often the last effort to save a tooth before extraction is necessary.

Differences Between an Apicoectomy and a Root Canal



Root Canal


•  When It's Needed - First-line treatment for deep infection or decay
•  Purpose - Removes infected pulp and disinfects the root canal system
•  Procedure - Done inside the tooth by cleaning and sealing the canals
•  Anesthesia - Local anesthesia
•  Recovery - Minimal discomfort, short recovery


Apicoectomy


•  When It's Needed - When infection persists after a root canal
•  Purpose - Removes the root tip and infected tissue when a root canal fails
•  Procedure - Done surgically through the gum to access the root
•  Anesthesia - Local anesthesia (sometimes sedation)
•  Recovery - Slightly longer recovery with possible swelling

In short, a root canal is the initial treatment for an infected tooth, while an apicoectomy is a more advanced surgical option when a root canal does not fully resolve the issue.

Treating Infection within the Tooth


A root canal and an apicoectomy are both procedures aimed at treating infections within a tooth, but they differ in their approach and purpose. A root canal is the first line of treatment, where the infected pulp inside the tooth is removed, the canals are cleaned, and the tooth is sealed to prevent further infection. In contrast, an apicoectomy is a surgical procedure performed when a root canal fails, requiring the removal of the root tip and infected tissue through an incision in the gum. While a root canal is a non-surgical, internal treatment, an apicoectomy is a minor surgery that accesses the tooth from the outside.

In conclusion, both procedures are essential in preserving natural teeth and preventing extraction. A root canal is the preferred initial treatment for deep tooth infections, whereas an apicoectomy serves as a backup plan when traditional root canal therapy does not fully resolve the problem. Understanding these differences helps patients make informed decisions about their dental care and ensures the best possible outcome for long-term oral health.

Schedule An Appointment with Our Endodontist Today!


If you are experiencing tooth ache, or have already been recommended a root canal, please call the Duggan Endodontics team at (512)-380-0777 today to schedule a consultation, so we can provide tooth pain relief as soon as possible. Through a dental examination, we will be able to determine if you need a root canal, apicoectomy, or perhaps another endodontic procedure. Let us help relieve your tooth pain, save and heal your tooth.

Locations We Serve


Ashton Ranch
El Mirage
Kingswood Parke
Mountain Vista Ranch
Sun City Grand
Sun City
Commercial Core
Surprise Farms
Surprise
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