Endodontic Surgery in Midlothian, TX
Advanced Surgical Care to Save Teeth That Cannot Be Reached Any Other Way.
Most endodontic problems can be resolved without surgery, but there are cases where a nonsurgical approach alone is not enough. When infection persists near the root tip, when canals cannot be adequately accessed through the crown of the tooth, or when previous treatment has not produced the expected healing, endodontic surgery offers a precise, targeted solution. Dr. Ai Tran uses advanced imaging and microsurgical techniques to perform these procedures with accuracy and minimal disruption to surrounding tissue.
What Is an Apicoectomy?
An apicoectomy is the most common endodontic surgical procedure. Dr. Tran accesses the root tip through a small opening in the gum, removes any infected tissue, and trims the very end of the root. A small filling is then placed to seal the canal at the root end and prevent reinfection. The gum tissue is closed with sutures and the area heals over the following months as bone regenerates around the treated root.
What to Expect After Endodontic Surgery
Endodontic surgery is performed under local anesthesia, and most patients return to normal activities within a day or two. Some swelling and mild soreness in the area are expected during the first few days and are easily managed with over-the-counter pain relievers. Dr. Tran will provide thorough post-operative instructions before you leave and is available to answer any questions throughout your recovery.
When Endodontic Surgery May Be Recommended
Persistent Infection
When inflammation or infection remains in the bone around the root tip after a root canal procedure, surgery allows direct access to clean and seal the affected area thoroughly.
Hidden Fractures
Small fractures in a tooth root may not be visible on standard X-rays or during a nonsurgical procedure. Surgery provides the direct visualization needed to identify and address these fractures.
Calcium Deposits
Over time, calcification can narrow or block root canals, preventing nonsurgical access. Surgery allows treatment of the root tip directly, bypassing the blocked canal.
Damaged Root Surfaces
In cases where root surfaces or surrounding bone have been damaged by infection or prior treatment, surgery makes it possible to remove affected tissue and restore conditions for healthy healing.
Endodontic Surgery FAQ's
When is endodontic surgery recommended?
Surgery is typically recommended when a nonsurgical root canal procedure alone cannot save the tooth. Common reasons include persistent infection after root canal treatment, small fractures or hidden canals not visible on x-rays, calcium deposits in root canals, or damaged root surfaces that require direct treatment.
What is an apicoectomy?
An apicoectomy, also called a root-end resection, is the most common endodontic surgical procedure. Dr. Tran opens the gum tissue to access the underlying bone, removes any infected tissue, and seals the end of the root canal. Most patients return to normal activities the following day.
Will I be in pain after endodontic surgery?
Postsurgical discomfort is generally mild and manageable with over-the-counter pain medication. Dr. Tran will provide detailed post-operative instructions and is available if you have any concerns during recovery.
How long does recovery take?
Most patients return to their normal routine the day after surgery. Some swelling and mild discomfort are normal for a few days following the procedure. Bone heals around the treated root over a period of months, and a follow-up appointment will confirm that healing is progressing well.
Is endodontic surgery covered by insurance?
Endodontic surgery is generally covered by dental insurance, though coverage varies by plan. Our team will review your benefits before your procedure and explain any costs you can expect.
Ready to Discuss Your Options?
Serving patients throughout Midlothian, TX and the greater Southwest Dallas area. Contact Transcend Endodontics to schedule a consultation with Dr. Ai Tran.