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Home For Patients Dental Blog What Does It Mean if Your Oral Surgeon Says You Need Endodontic Surgery?

What Does It Mean if Your Oral Surgeon Says You Need Endodontic Surgery?


Posted on 3/3/2025 by Treasure Valley Oral & Facial Surgery
A dentist showing a female patient her dental X-ray results on a screen, discussing treatment options during an exam.Endodontic surgery, also known as endodontic microsurgery, is a specialized oral surgical procedure used to address problems involving the root canal of a tooth. Now, let's talk about what it means if your oral surgeon recommends this procedure.

Why Am I Hearing About Endodontic Surgery?

There are several situations where endodontic surgery might be recommended. Some common ones include:

•  Failed Root Canal Treatment: Sometimes, even after conventional root canal treatment, a tooth may continue to experience pain or infection. In these cases, endodontic surgery can help remove remaining bacteria or address other problems within the root canal system.
•  Severe Tooth Decay: When decay extends deep into the tooth, it may damage the pulp and necessitate endodontic surgery.
•  Root Fractures: If a tooth root cracks, endodontic surgery may be used to repair the damage and save the tooth.
•  Toothaches: Persistent toothaches that are unresponsive to medication may indicate an issue that needs endodontic surgery.
•  Swelling: Facial swelling around a tooth can be a sign of infection requiring surgical intervention.

What Can I Expect During Endodontic Surgery?

The specifics of your surgery will vary depending on your specific needs. However, in general, the process involves the following:

1~ Local Anesthesia: Your oral surgeon will use local anesthetic to numb the area around the tooth.
2~ Gum Tissue Incision: A small incision is made in your gum to access the affected tooth root.
3~ Surgical Procedure: Depending on the reason for surgery, your oral surgeon will perform the necessary procedure, such as removing infected tissue, repairing a root fracture, or addressing any other issues within the root canal.
4~ Closure: Once the procedure is complete, your surgeon will close the incision with stitches and provide post-operative instructions.

What Happens After Endodontic Surgery?

After the surgery, it's important to follow your surgeon's instructions carefully to ensure proper healing. This may involve taking pain medication, using ice packs to reduce swelling, and maintaining a soft diet for a few days. You will likely need to return to your oral surgeon for follow-up appointments to monitor your progress and ensure the success of the surgery.

Endodontic Surgery: A Valuable Tool in Oral Care

Endodontic surgery is a valuable tool in the field of dentistry, allowing oral surgeons to save teeth that would otherwise be lost. If your oral surgeon has recommended this procedure for you, be assured that it is a safe and effective way to address the underlying problem and preserve your oral health.

Restoration Dentistry Following Endodontic Surgery

In some cases, after endodontic surgery, your dentist may recommend restoration procedures like crowns or fillings to fully restore the function and appearance of the treated tooth. This will help ensure the long-term success of the surgery and maintain your overall oral health.

Have More Questions?

If you have any questions or concerns about endodontic surgery, don't hesitate to reach out to your oral surgeon. They will be happy to discuss the procedure and address your specific needs.

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