Procedures > Root Canal vs. Apicoectomy
Root Canal Vs. Apicoectomy
Both of these procedures can be used to save your damaged or infected tooth, but a root canal is typically used to treat the inside of the tooth, while an apicoectomy is used to treat the end of the root. Regardless of what is best for your smile, we can help!
Understanding The Difference
| Root Canal | Apicoemctomy |
| A root canal is used to save a tooth that has been infected or damaged by removing the infected or damaged pulp (the soft tissue inside the tooth) and filling it with a rubber-like material. This helps seal the canals and prevent further infection. | An apicoectomy is a surgical procedure used to remove the tip of the tooth’s root. This procedure is recommended when a root canal was done before, but pain or infection persists. It’s typically done when the infection is located at the end of the tooth’s root and cannot be accessed. |
When To Consider Which
| Reason | Root Canal | Apicoemctomy |
| Primary Cause | Untreated tooth decay is spreading to the pulp. | A blow to the tooth, cracks, or chips has damaged the pulp. |
| Physical Trauma | A blow to the tooth has damaged the pulp. | A previous root canal failed to restore your health. |
| Anatomy Issues | Inflammation or infection is present. | It’s impossible to reach the infection with a root canal. |
| Structural Growth | An abscess has formed at the root end. | Cysts or tumors have developed around the root. |
| Procedure History | Repeated procedures have caused pulp damage. | Retreatment of the canal is blocked. |
| Supporting Tissue | Gum disease has caused tooth deterioration or loss. | The goal is to remove tissue at the very tip. |
Comparing The Processes
With a Root Canal
A root canal begins with a consultation with Dr. Gray, who will examine the tooth and take X-rays to determine if one is necessary. The infected or damaged pulp is then carefully removed, before the canals are cleaned, shaped, and filled with a rubber-like material called gutta-percha. The opening in the tooth is then sealed with a temporary filling.
After the procedure, you may experience some discomfort or sensitivity. Dr. Gray will provide instructions for the care and management of pain. A permanent filling or crown is then placed on the tooth to protect it and restore its function. The entire process typically takes 1-2 visits, and the recovery time is usually short.
With an Apicoemctomy
During this procedure, Dr. Gray uses a high-powered microscope to access the infected tooth by making an incision in the gum tissue. The inflamed or infected tissue, as well as a small portion of the bone, is then removed to access the tooth’s root.
The infected tip of the root is then trimmed using specialized ultrasonic instruments. The root canal is sealed by adding a small filling, and sutures are used to aid in the healing of the soft tissue. The bone surrounding the root will take a few months to heal fully.
Take the Next Step Toward Saving Your Smile
Deciding between a root canal and an apicoectomy can feel overwhelming, but both procedures share a common, vital goal: saving your natural tooth and restoring your oral health. Don’t let persistent dental pain or infection go untreated. Regardless of which procedure is best for your situation, our team is here to help you find relief and preserve your smile.
A Healthy Smile For All
We look forward to seeing you here at Rochester Endodontics! Give our office a call to schedule your first visit.
