Endodontic Surgery

Why do I need Endodontic Surgery?

Endodontic surgery is recommended

• When the root canal treated tooth did not heal despite adequate treatment
• When conventional non-surgical retreatment is not recommended
• In conjunction with conventional root canal retreatment
• To explore cracks or possible fractures on the root

• To perform biopsies and remove cysts or growths
  

​Before Surgery: Radiograph of cyst	​After Surgery: Radiograph of large post
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1. If the affected root or tooth is deemed to be beyond surgical repair or treatment, it may be extracted during the same surgery.
2. If the affected tooth and area is in close proximity to important anatomical structures, there may be a minor risk for complications such as sinus floor perforations or nerve damage.
3. Other risks include potential infection, side effects to the medications used or the general/local anaesthetic used.
   

There is no need to fast prior to the surgery. It would be good to have a light meal instead, especially if you are diabetic.

If you have any pre-existing medical conditions, such as recent heart surgery or uncontrolled diabetes, your dentist may advise you to check with your medical doctor whether you are fit for the surgery.

As the surgery is done under local anaesthesia, generally minimal discomfort is experienced during the surgery.

1. There may be mild oozing or bleeding from the operation site after surgery.
2. Some pain, tenderness, swelling, bruising of the operation area may be experienced.
3. Painkillers and antiseptic mouthrinse will be prescribed, antibiotics may be prescribed where indicated by the doctor.
4. Stitches will be removed in 5 to 7 days.
5. Follow up appointments will be scheduled to review the healing of the tooth.
6. Endodontic surgery has success rates ranging between 80 to 95%. If the tooth does not heal after the surgery, re-surgery may be indicated, or extraction may be advised.