This is an endodontic treatment that focuses on removing a persistent infection in the apex (root-end of the tooth). This type of issue can persist after a root canal, which risks the integrity of the tooth and can cause dental pain. In order to prevent the spreading of the infection and eliminate the pain, the dentist will proceed with local anesthetics and remove the apex of the root. Following the removal, they will seal the tips to ensure that the canals will not get infected. In this manner, the tooth will be saved, and you can continue to perform your daily functions in terms of chewing and speaking.

• Once the dentist uses local anesthetic, they will make an incision at the apex level of the infected tooth.
• A small portion of the bone is removed to gain access to the apex.
• The dentist cleans the root canal and removes the apex. The connective tissues may also be removed to clear the area of the infection entirely.
• In order to fill the opened area, the dentist will place an apical cap that is composed of biocompatible materials.
• The dentist will then close and stitch the area.

> Follow the dentist’s guidelines and take the prescribed medication to ensure that both the infection and pain is controlled
> Follow a soft food diet a week after the procedure
> Keep ice on treated area for 12 hours following the surgery to help reduce inflammation. The inflammation will go down after a few days.
> Pay close attention to the treated area when brushing your teeth.
> Avoid smoking and tobacco products