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When the tooth is infected with a large cavity, it is sometimes necessary to proceed with an apicoectomy to save the tooth and maintain a healthy oral cavity. This is a procedure that is executed by the highly qualified dentists at Centre dentaire NP, your dental office in Kirkland (West Island of Montreal). They use precision tools and equipment such as an apex locator.

What does an apicoectomy consist of?

This is an endodontic treatment that focuses on the apex (root-end of the tooth) to remove a persistent infection. This type of issue can continue even 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, your Kirkland dentists, will proceed with local anesthetics and remove the apex of the root. Following the removal, he/she will seal the tips to ensure that the canals are not infected with future bacterial infections. In this manner, the tooth will be saved, and you can continue your daily functions such as chewing and eating your food.

The procedure

  • Once the dentist uses local anesthetic, he/she 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 goes ahead and 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 suture the area.

Recommendations to allow proper healing of the treated area

> Follow the dentist’s guidelines and take the prescribed medications 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

The reasons your dentist will choose to do an apicoectomy

1. The root canal treatment was not sufficient

Unfortunately, in some cases, an infection can persist despite a root canal treatment was done. It can also occur that a residual infection develops and affects the root of the tooth.

2. To save the tooth and surrounding teeth

By treating the source of infection directly, we can rest assured that it will not return and in turn help prevent the extraction of the tooth or several teeth.

3. To help maintain a healthy oral cavity

By proceeding with this treatment, we can ensure that the tooth stays in place and continue to its day-to-day functions in a healthy manner.

4. To remove infection and treat pain

The apicoectomy allows the removal of the source of pain and limits the spreading of the infection. It allows one to continue their day-to-day activities!