In a few instances healing is incomplete, despite conventional endodontic treatment and retreatment.

In such cases, endodontic microsurgery may be necessary. Apicoectomy and root-end resection are old terms that no longer accurately describe modern endodontic microsurgery.

Recent advances such as the digital operating microscope, surgical ultra-sonic tips, and new materials (i.e. ProRoot MTA by DENTSPLY) have transformed endodontic microsurgery. Modern endodontic microsurgery enables endodontists save more teeth with more confidence and minimal post-appointment discomfort. If you are told a root canal treatment is 'failing' and the tooth needs extraction ask if an endodontist could save the tooth with either retreatment or endodontic microsurgery.

As a matter of routine, a pathology report is provided for every surgery.

The findings of the pathology report are shared with both you and your dentist. During endodontic microsurgery the end of the canal is cleaned and sealed. During surgery the roots are inspected for cracks, fractures, and defects. The surrounding soft tissue and bone may be augmented to help improve the stability and aesthetics of the tooth.

Endodontic microsurgery is almost exclusively performed by endodontists.

As with all endodontic procedures at the Richmond Endodontic Centre adequate local anaesthetic (freezing) is provided. You will not feel pain during surgery. In addition, both oral and IV sedation are possible options to alleviate any stress and anxiety.

It is normal to have some swelling, tenderness, and occasionally some bruising after the surgery. Most people can expect to return to their normal activities the next day. For more information about pre- and post- surgical instructions please have a look at the microsurgical information package.