Endodontic Microsurgery: Advanced Solutions for Complex Cases

At Dublin Endodontics, we are committed to providing the most advanced and effective endodontic care available. While root canal therapy is often successful in saving infected or damaged teeth, some cases require a more specialized approach: endodontic microsurgery. Dr. Oleson, our highly skilled endodontist, utilizes state-of-the-art technology, including a dental microscope and CBCT, to perform these intricate procedures with precision, offering solutions for even the most complex cases.

What is Endodontic Microsurgery?

Endodontic microsurgery, also known as surgical endodontics, is a set of specialized procedures designed to address problems that cannot be resolved through conventional root canal therapy or retreatment. The most common type of endodontic microsurgery is an apicoectomy, also referred to as root-end resection.

Why Might I Need Endodontic Microsurgery?

• Persistent Infection: When a root canal or retreatment fails to eliminate an infection, microsurgery may be needed to access and treat the root tip directly.
• Calcified Canals: Sometimes, canals are too narrow or calcified to be adequately cleaned during conventional treatment.
• Root Fractures or Damage: Microsurgery can be used to repair certain types of root fractures or remove a damaged root tip.
• Anatomical Irregularities: Complex root anatomy that prevents thorough cleaning and sealing during traditional treatment.
• Exploratory Surgery: In some cases, microsurgery allows the endodontist to directly examine the root tip and surrounding bone to diagnose the cause of persistent pain or discomfort.

The Apicoectomy Procedure: Precision with a Microscope and CBCT Imaging

An apicoectomy involves removing the very tip of the tooth's root and sealing the end of the root canal. Here's a simplified overview of the procedure:

1. Local Anesthesia: Your comfort is our top priority. The area is thoroughly numbed with local anesthesia.
2. Small Incision: A small incision is made in the gum tissue near the affected tooth to expose the underlying bone and root tip.
3. Root-End Resection: Dr. Oleson uses a specialized dental microscope to enhance visibility and precision. A small portion of the root tip is removed, along with any infected or inflamed tissue.
4. Root-End Filling: A small filling is placed to seal the end of the root canal, preventing reinfection.
5. Suturing: The gum tissue is sutured back into place.
6. Healing: Over the next few months, the bone around the root tip will heal.

The Advantage of the Dental Microscope and CBCT Imaging

The use of a dental microscope and CBCT imaging are a crucial aspect of modern endodontic microsurgery. It provides Dr. Oleson with superior magnification and illumination, allowing for:

• Enhanced Visualization: The microscope allows for a much clearer and more detailed view of the surgical site, enabling the detection of small fractures, extra canals, or other issues that might be missed with the naked eye.
• Increased Precision: Microsurgical instruments, used in conjunction with the microscope and CBCT, allow for more precise removal of infected tissue and placement of the root-end filling.
• Minimally Invasive Treatment: The enhanced visualization allows for smaller incisions and less tissue trauma, leading to faster healing and reduced postoperative discomfort.

Benefits of Endodontic Microsurgery:

• Saves Your Natural Tooth: Offers a last resort to save teeth that would otherwise need to be extracted.
• High Success Rate: When performed by a skilled endodontist using a dental microscope, endodontic microsurgery has a high success rate.
• Long-Term Solution: Addresses the root cause of the problem, providing a durable and long-lasting solution.
• Pain Relief: Eliminates persistent pain and discomfort associated with infection or inflammation around the root tip.

Why Choose Dublin Endodontics for Endodontic Microsurgery?

Dr. Oleson is a highly trained endodontist with extensive experience in endodontic microsurgery. Our practice is equipped with the latest technology, including a dental operating microscope and CBCT, to ensure the best possible outcomes for our patients. We are dedicated to providing compassionate, personalized care in a comfortable and relaxing environment.

Endodontic microsurgery is an advanced and effective treatment option for saving teeth with complex problems. If you're experiencing persistent tooth pain, contact Dublin Endodontics to explore your options. Dr. Oleson will thoroughly evaluate your case and determine if endodontic microsurgery is the right solution for you.

Schedule a consultation with Dr. Oleson to discuss whether endodontic microsurgery can save your tooth. Call us at 614-967-9225 or visit our website at www.dublinendo.com to book your appointment.

‍