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Pennsylvania Dental Implant and Oral Surgery Associates, of Bucks and Montgomery Counties, Drs. Dachowski, Sock, and Daly perform Endodontic Surgery when indicated.  Sometimes, this type of surgery is not well understood.

Why would I need Endodontic Surgery or an Apicoectomy?

Generally, a root canal is all that is needed to save teeth with injured nerves from extraction. Occasionally, this non-surgical procedure will not be sufficient to heal the tooth and your dentist/endodontist will recommend surgery. Endodontic surgery can be used to locate fractures or hidden canals that do not appear on x-rays but still manifest pain in the tooth. Damaged root surfaces or the surrounding bone may also be treated with this procedure. The most common surgery used to save damaged teeth is an apicoectomy or root-end resection.

What is an Apicoectomy?

An incision is made in the gum tissue to expose the bone and surrounding inflamed tissue. The damaged tissue is removed along with the end of the root tip. A root-end filling is placed to prevent re-infection of the root and the gum is sutured. The bone naturally heals around the root over a period of months restoring full function.

What happens after an Apicoectomy?

Following the procedure, there may be some discomfort or slight swelling while the incision heals. This is normal for any surgical procedure. To alleviate any discomfort, an appropriate pain medication will be recommended. If you have pain that does not respond to medication, please call our office.


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For comprehensive information and a complete list of published articles and scientific presentations
by Drs. Dachowski, Sock, and Daly, Please review the Curricula Vitae of: