Your teeth attach firmly with roots that extend to your jawbone. Larger teeth have more than one root, while your smaller incisors have only one root. The root’s tip is called the apex, and that’s where your tooth’s nerves and blood vessels are.
When teeth are infected, you often experience extreme pain. While we explore the least invasive treatment option first, we sometimes still need to remove the apex of a tooth’s root to eliminate infection and avoid extracting the tooth.
Before an apicoectomy, Dr. Guller will likely prescribe an antibiotic to treat the infection. He will also take panoramic X-rays to plan the apicoectomy. To get started, we’ll administer local anesthesia.
Once you’re numb, we’ll make a small incision in your gums to expose the root. Some roots are so deep that we have to remove a small amount of your jawbone to reach the root’s tip. Once we reach the root, we’ll use ultrasonic instruments to remove the apex. We’ll then seal the root with filling material and stitch up your gums.
We’ll finish your appointment by instructing you on how to care for this area of your mouth and instruct you on any follow-up care you’ll need to return to our office for.