What is Endodontic Surgery, and When Do I Need It?

What is Endodontic Surgery, and When Do I Need It?

March 1, 2022

Root canal treatment has been one of the revelations of modern dentistry. An impacted tooth can be saved and restored effectively through root canal treatment. The teeth might lose their natural shape, appearance, and utility due to regular usage, periodontal infections, or trauma.

What is Endodontic Surgery?

The non-surgical root canal treatment may not be sufficient to save your teeth from degradation or untimely loss of teeth. Endodontic surgery can be used to locate minute fractures or tumors that remain unnoticed through X-rays performed initially. Certain medical conditions also cause decomposition of calcium in the root canals, and endodontic surgery is the only respite for treating such issues.

Root canal treatment is performed when the infection or inflammation attacks the delicate pulp underneath the teeth. The result of such invasion of infection can be bleeding coupled with severe toothaches.

An endodontist near you might suggest endodontic treatment if you experience:

  • Persistent cysts in the pulp or gums
  • Acute pain
  • Cracked roots
  • Perforated root tips
  • Regularly blocked root tips
  • Cleaning of calcium deposits in the canal of previous root canal treatment

Explain the Endodontic Surgery Procedure

In endodontic surgery, the affected tooth is extracted, treated with endodontic treatments while the teeth are out of their socket, and replaced in position to save the teeth. The process involves the treatment of the inner tissues of the teeth, the pulp, and the nerves.

The underneath of the teeth houses numerous fine blood capillaries and nerve endings along with the delicate fleshy pulp. Endodontic treatments focus on saving these blood capillaries, nerves, and pulp.

The different types of endodontic surgery procedures are:


Apicoectomy is one of the most common endodontic surgeries performed nowadays, and the process is also known as root-end resection. Apicoectomy is performed to relieve the patients suffering from inflammation or an infection near the roots of the teeth in the gums. This issue is generally experienced after undergoing root canal treatment. The endodontists perform apicoectomy by an incision in the gum to remove the infection.

To Remove Calcium Deposits

Calcium is a tough mineral, and the decomposition of calcium in the canals of root canal treatment can make it difficult for dentists to use their instruments. Endodontic surgery is the best way to remove the calcium deposits and clean the area before sealing the canals after root canal treatment.

Examining Root of Teeth

You might experience continuous severe tooth pain, yet dentists diagnosed nothing using dental x-rays. In such a scenario, endodontic surgery is the only way out. The severe toothache might be due to a tiny fracture in the teeth or the root canal that is not visible in X-rays. The endodontist makes an incision in the gum to examine the state of the tooth and infection.

Explain the Situations When You Need It

Endodontic treatment is necessary when the pulp becomes infected, and the same has to be removed to save the teeth. The pulp from the outer crown is removed during root canal treatment, but an incision is made through the hum to treat issues of the inner pulp.

Endodontic treatment finds application when an oral examination or ongoing symptoms cannot diagnose the issue. When even X-rays cannot detect a problem, it is up to the endodontic surgeon to find out the reason for the agony.

Periodontal infections can damage the gums, and the infection enters from the teeth. By the time the pulp is infected, it is evident that the gums and surrounding teeth are also damaged or infected. Endodontic surgery can clean the infections without affecting the adjacent teeth.

A root canal treatment can last a lifetime, but in some diverse cases, the tooth may not heal after root canal treatment, or the teeth might be affected again. Endodontic surgery is the only way to cure such infections.

Scheduling the Visit to Dentist

Severe toothaches, sensitivity to high and low temperatures inside the mouth, pain while chewing, or sudden tooth discoloration are some of the signs for you to book an appointment with an endodontist. Willow Wood Dental can be your dentist in Livonia. You may book an appointment here to experience comprehensive dental service through experienced dentists and friendly staff.