|"Where caring, skill, will and technology intersect while striving for endodontic excellence."|
Root Canal Surgery, Endodontic Surgery, Apicoectomy (Apico) and Retrofill (retro) or
Surgical Endodontic Therapy
When is this procedure done?
Nonsurgical endodontic treatment alone cannot maintain some teeth. Endodontic surgery includes any surgical procedure used to remove inflammation and/or infection from your roots and surrounding areas or to repair a given problem. Endodontic Surgery can help maintain your tooth in situations such as:
What is the most common endodontic surgical procedure or 'root canal surgery'?
The most common surgical procedure is called root end resection. We usually cut off the very tip of the root and place a filling at the end of the root to help seal the root structure. This used to be called apicoectomy and retrofill or "apico" and "retro". The American Association of Endodontists decided that apicoectomy was not very patient friendly so it retermed the procedure root end resection. They feel it describes the procedure better.
The Anatomy of a Tooth with
Previous Unsuccessful Endodontic Therapy
What Happens During Endodontic Surgery?
A local anesthetic will be given. An opening is made near the tooth by reflecting the gum tissue away from the tooth. This allows us to see the area and surgical portion of the treatment is completed. If root end resection is completed we remove the inflammed and/or infected tissue, cut off the root end and place a filling to help seal the end of the root. To me, it's more important to do it the very best we can then to meet a specific time criteria. Let's look at the basic steps for root end resection with root end filling.
The Root End Resection with Root End Filling Procedure
What kind of Materials are placed in the Root end filling process?
A sealing material such as Mineral Trioxide Aggregate (MTA or Portland Cement), Zinc Oxide and Eugenol, and/or composite/glass/resin ionmer (glass and organic acid +/or plastic resin). It will NOT contain amalgam when completed in our office.
I've never heard of this 'MTA' stuff. What else is it used for?
Disclaimer: Endodovgan.com is provided for information and educational purposes only. No doctor/patient relationship is established by your use of this site. No diagnosis or treatment is being provided. The information contained here should be used in consultation with a dentist and/or endodontist of your choice. No guarantees or warranties are made regarding any of the information contained within this website. This website is not intended to offer specific medical, dental or surgical advice to anyone. Hence, you should not rely on this information as a substitute for personal, medical and/or dental attention, diagnosis, and care. Dr. Dovgan takes no responsibility for the websites that hyperlink to or from this site, and such hyperlinking does not imply any relationship or endorsement of those sites.
Joseph S. Dovgan, D.D.S., M.S., P.C.
Practice Limited to Endodontics
"Where caring, skill, will and technology intersect while striving for endodontic excellence."
Serving Phoenix, Scottsdale & Paradise Valley, Arizona
Copyright 2000-2004 Joseph S. Dovgan, D.D.S., M.S. All rights reserved.
Website initial design and hosting by ezSolutions Computers, Data and Internet