Periapical surgery is required to save teeth which cannot be restored to health with root canal treatment because of a persistent infection deep in the root canal. The extent of this kind of infection is only revealed when the tooth is opened up for root canal treatment, or when root canal treatment fails, so periapical surgery is reserved for the most serious cases.
Under local anaesthetic the gum is lifted over the tooth to gain access to the inflamed or infected tissues around the tip of the root and clean the infection out. Sometimes the tip of the root may be removed as well, and the gum is then stitched back in place and the inflamed tissues sent to a pathology laboratory for examination. Unconscious sedation is available at Harley Street Dental and Implant Clinic to help nervous patients undergo this procedure.
Sutures are removed after three to four days and there may be a swelling, pain and bruising for a few days, with patients advised to use an ice pack wrapped in a towel on the face.
The purpose of periapical surgery is to stop pain caused by infection and save teeth which otherwise would have been lost, and an endodontist at Harley Street Dental and Implant Clinic will advise patients of the alternative options, which may include extracting the tooth and replacing it with a dental implant.
If you have had root canal treatment that has failed or are experiencing pain in a tooth that was treated by an endodontist, arrange an appointment with a Harley Street Dental and Implant Clinic endodontist to assess your mouth and discuss your options.