Endo surgery or Apicoectomy treatment is sometimes considered when conventional endodontic treatment cannot be performed, or was not successful. Endodontic surgery may also be considered if no obvious cause can be found for a tooth's symptoms, in these cases, surgery allows examination of the entire root of the tooth. There are different types of endodontic surgery. An apicoectomy is performed when there is infection at the tip of the tooth that root canal treatment cannot reach. This procedure involves surgically removing the tip of the tooth's root, along with any infected tissue, and sometimes a retro fill where a filling is placed into the root tip. Occasionally, a nonsurgical root canal procedure alone cannot save your tooth and the dentist will recommend surgery. A nonsurgical root canal procedure alone cannot save your tooth and your endodontist will recommend surgery. Endodontic surgery can be used to locate small fractures or hidden canals that weren't detected on x-rays or during previous treatment. Surgery may also be needed to remove calcium deposits in root canals, or to treat damaged root surfaces or the surrounding bone of the tooth. Endodontists use advanced technologies like digital imaging and operating microscopes to perform surgeries quickly, comfortably and successfully. Other endodontic treatments and surgeries the endodontists might perform include dividing a tooth in half, repairing an injured root, or even removing one or more roots.
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