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Each one of your teeth are held into the jawbone via roots. Your front teeth generally have one root while other teeth such as your molars have two or more roots. The tip of each root is known as the apex and this is the area where the blood vessels and nerves run and then travel into the inside of the root and the pulp chamber, which is located within the crown of the tooth and this is the visible portion of the tooth.

An apicoectomy is a procedure that is performed when an infection continues to affect the tooth or persists even once the patient has received RCT or root canal treatment. When RCT is performed, the canal of the tooth is cleaned out and all of the infected tissues are removed from the inner portion of the tooth. Root canals are complex in nature since there are many small branches from the main canal of the tooth. Once a root canal is completed, there may be some debris or bacteria left behind and this can cause re-infection of the tooth. An apicoectomy removes the apex of the tooth along with any additional infected tissues. A filling is placed into the tooth to seal up the hole where the apex once was.

Preparation of the Tooth and How It’s Done

Before an apicoectomy is performed, you will have a consultation with Dr. Brandon Kang in either our Oakland or San Francisco office. You will receive x-rays to allow Dr. Kang to look deeper into the tooth and you may also receive an antimicrobial mouthwash, antibiotics, and an anti-inflammatory medicine before the procedure.

You should let our team know if you have any serious medical conditions, such as high blood pressure, prior to the day of the procedure. Local anesthetics are used, but these anesthetics contain more epinephrine than anesthetic used for a traditional filling.

The procedure is done when Dr. Brandon Kang cuts and lifts up the gum to access the tooth’s root easily. The infected tissues are removed first and then the apex is. A dye will then be used to highlight any cracks or fractures that appear in the tooth. If there is a crack or fracture, the tooth will be extracted, and the procedure will not be completed.

For the apicoectomy to be completed, 3 to 4mm of he tooth’s canal are cleaned out and then sealed up. The cleaning is done proficiently and under a microscope to ensure it is done correctly. An x-ray will be taken once the procedure is done, but before the gums are sewn up.

The procedure takes about 30 to 90 minutes total and the amount of time spent on the tooth will depend on the tooth’s location and the complexity of the procedure.

Are There Risks Associated with the Procedure?

The biggest risk that is associated with this procedure is that the treatment will not work, and the tooth may need to be extracted from your mouth. Depending on the location of the tooth, there may be additional risks such as infection.

Call Today to Schedule Your Appointment

If you have had multiple failed root canals, you may be in need of an apicoectomy. It is important that you call Pacific Oral & Maxillofacial Surgery Center to discuss your options with Dr. Brandon Kang. We offer this procedure in our Oakland and San Francisco office, for your convenience.

Contact us today!

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Bay Area Oral Surgeon, Dr. Brandon Kang, manages a wide variety of problems relating to the mouth, teeth, and facial regions. For more information about the oral and maxillofacial surgery services we provide, or to schedule a consultation,
contact us at 510-227-8099

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