Apicoectomy – What is it and Why is it Needed? | Dentist in Woodbridge VA

If you have ever needed root canal therapy, you may know that an Endodontist is a dentist who specializes in treatment of the tooth root. However, there are some cases where traditional root canal therapy will not be possible or will not yield the best solution for your infection. In these cases, your dentist may refer you to our office for an apicoectomy. Here’s what you need to know:

What it is

An apicoectomy is a minor treatment that involves removing the infected tip of a tooth root, then sealing the interior of the tooth to prevent further infection. 

Why It Is Done

In most cases, when pulp in the root of a tooth becomes infected, root canal therapy is performed. This removes the infection and prevents it from spreading further. In traditional root canal therapy, the full pulp is removed from the tooth, along with any infected tissue. When this is not possible or previous root canal therapy has failed, an apicoectomy is recommended.

An apicoectomy is generally performed by a certified Endodontist, like our doctor. You will receive local anesthetic to ensure your comfort throughout your treatment. We will make a small incision in the gum tissue. The inflamed root tip is then removed and sealed to prevent the infection from spreading. You should expect this treatment to take 30 to 90 minutes. In most cases, an apicoectomy on a front tooth takes less time than one on a lower molar.

What to expect afterwards

Like any oral surgery, some discomfort can occur for the first few days following the procedure. When brushing your teeth, you will want to be gentle around the area. Any further discomfort can usually be mitigated with over-the-counter medications such as ibuprofen. We may prescribe medicine, if needed, to alleviate any discomfort that cannot be managed by over-the-counter medications. Please use medications only as directed by our doctor.

Unlike traditional root canal therapy, you may not need to have a dental crown placed following an apicoectomy.

Acting on root issues as soon as they are detected is your best defense against infection and tooth loss. For more tips on keeping teeth healthy or for questions about apicoectomies, contact our office.

Woodbridge Dental Care
Phone: (703) 670-4994
4565 Daisy Reid Ave., Suite 335
Woodbridge, VA 22192

Root Canal Therapy for Children | Dentist in Woodbridge

Primary (or baby) teeth play a vital role in the proper growth and development of your child’s permanent teeth. This is the reason why we may recommend root canal therapy for your child, rather than simply extracting a severely decayed baby tooth. Please review the information below to learn more about what symptoms may indicate the need for root canal treatment and how to prevent tooth decay in baby teeth.

In early stages, your child may not experience pain or discomfort from tooth decay. However, if your child suddenly develops sensitivity to hold, cold, sweet, or acidic foods and drinks, this could be a sign of decay. Other signs your child could need root canal therapy can include pain or throbbing in a tooth, which may indicate pulp damage or infection. This is most common when a tooth has been previously chipped or cracked and exposed the pulp within. We may recommend diagnostic x-rays to determine the extent of the damage or infection before advising treatment.

Root canal treatment for children proceeds in similar fashion to the adult experience. Local anesthetic medication is generally used to ensure comfort throughout. In most cases, your child’s root canal therapy will be a pulpotomy – removal of infected pulp only. Since less structure is affected by this treatment, it usually requires less time and discomfort to complete and to heal.

After your child’s root canal therapy, a dental crown will be fabricated and placed on the tooth to protect the remaining tooth structure from further damage. This crown will be strong and designed to perfectly fit within your child’s mouth. When the baby tooth falls out, the crown will go with it, allowing the permanent tooth to move into place normally.

There are actions you can take to help protect your child from tooth decay requiring root canal therapy. Some of these include:

  • Start twice yearly dental visits by age 1
  • Brush your child’s teeth until they are old enough to take over
  • Teach your child how to brush and floss correctly
  • Practice healthy nutrition in your home
  • Talk to your child about the value of healthy teeth and gums

For more information about childhood root canal therapy, contact our office.

Woodbridge Dental Care
Phone: (703) 670-4994
4565 Daisy Reid Ave., Suite 335
Woodbridge, VA 22192