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Periapical Surgery Elmhurst IL

Older patient sitting in dental chair calmly discussing his oral health with his dentistDespite thorough root canal treatment, some infections may persist due to the presence of complex root canal anatomy or untreated canals.

Curved or narrow canals pose challenges during conventional root canal treatment, making surgical intervention necessary. Patients might continue to experience symptoms such as pain, swelling, or drainage despite undergoing dental treatments.

This could indicate the presence of residual infection, inflammation, or other underlying issues. In such cases or others, such as root fractures that damage the root tip, periapical surgery at Cameo Dental Specialists becomes compulsory.

What Is Periapical Surgery?

Periapical surgery, also known as apicoectomy or root-end resection, is a dental surgery performed to treat infections or inflammation in the tissues surrounding the tip of a tooth's root.

This surgical intervention is typically considered when conventional root canal therapy fails to resolve the issue or is not feasible due to various reasons, such as complex root canal anatomy, calcified canals, or the presence of a persistent infection.

Periapical Surgery Procedure

Preoperative Assessment

Before the surgery, the oral surgeon or endodontist conducts a thorough examination of the tooth and surrounding tissues, which may involve taking X-rays and possibly other imaging studies to assess the extent of the tooth infection.


Local anesthesia is administered to ensure the patient's comfort throughout the procedure. In some cases, sedation may also be offered to alleviate anxiety.


The dentist makes a small cut, exposing the root tip and bone underneath the gum tissue near the affected tooth.

Exposure of the Root Tip

Using specialized instruments, the dentist carefully exposes the tip of the tooth's root and removes any infected or inflamed tissue.

Root-End Resection

The tip of the root is then resected (cut off) along with any surrounding damaged tissue. This step is essential for removing the source of any dental abscess and promoting healing.

Root-End Filling

Once the root tip is removed, the dentist seals the end of the root canal with a biocompatible material, such as gutta-percha or mineral trioxide aggregate (MTA), to prevent any further infection from occurring.


The gum tissue is sewn back into place, allowing it to heal properly over time.

Postoperative Care

Patients are provided with instructions on how to care for the surgical site, including information on pain management, oral hygiene, and dietary restrictions. Follow-up appointments may also be scheduled to monitor healing progress.

Advantages of Periapical Surgery

Preservation of Natural Teeth

One of the primary goals of modern dentistry is to preserve natural teeth whenever possible. Periapical surgery aims to save a tooth that would otherwise require extraction due to infection or inflammation. By removing only the infected or damaged portion of the tooth root, the remaining healthy tooth structure can be preserved.

Access to Persistent Infections

Periapical surgery allows dentists to access the root tip directly, remove any infected tissue, and seal the root end, effectively eliminating the source of infection.

Prevention of Spread of Infection

Untreated dental infections can spread to surrounding tissues, leading to more extensive damage and potential complications. Periapical surgery helps contain the infection by removing the source and preventing it from spreading to neighboring teeth, gums, or even the jawbone.

Preservation of Bone Structure

Dental infections can cause bone loss around the affected tooth, compromising its stability and potentially affecting adjacent teeth. Periapical surgery involves removing the infected tissue and sealing the root end, which helps preserve the surrounding bone structure and maintain the integrity of the jawbone.

Improved Success Rate

While root canal surgery has a high success rate, there are instances where it may not completely resolve the infection, especially in the presence of calcified canals. Periapical surgery provides a second chance to effectively treat the infection and improve the long-term prognosis of the tooth.

Resolution of Symptoms

Patients experiencing persistent symptoms such as pain, swelling, or drainage from the gums despite previous dental treatments may find relief through periapical surgery. By addressing the underlying cause of the infection, the procedure can alleviate discomfort and improve oral health and quality of life.

Minimal Discomfort

Advances in dental techniques and technology have made periapical surgery more comfortable for patients. Local anesthesia is typically used to numb the area, minimizing discomfort during the procedure. Additionally, post-operative pain can be managed with over-the-counter or prescription medications as needed.

Customized Treatment

Every patient's dental anatomy and condition are unique, and there isn't a one-size-fits-all solution for treating dental infections. Periapical surgery allows for a customized approach tailored to the specific needs of the patient, ensuring thorough removal of infected tissue and effective sealing of the root end.

Predictable Outcomes

With proper diagnosis, treatment planning, and execution, periapical surgery can yield predictable and successful outcomes. Dentists skilled in endodontic surgery can achieve effective infection control, promote healing, and restore the tooth's function and aesthetics, providing long-term stability and patient satisfaction.

Cost-Effective Long-Term Solution

While periapical surgery may require a higher initial investment compared to traditional root canal therapy, it can be a cost-effective long-term solution. By saving the natural tooth and avoiding the need for extraction and replacement with prosthetic alternatives, patients can potentially save on future dental expenses.

Complementary to Traditional Endodontic Procedure

Periapical surgery is not intended to replace traditional root canal therapy but rather to complement it when needed. While root canal therapy is usually the first choice for treating dental infections, tooth root surgery serves as a valuable alternative for cases where conventional treatment alone may not suffice.

Losing a natural tooth not only impacts oral health but also aesthetics and function. Periapical surgery aims to preserve the natural appearance and function of the tooth, allowing patients to maintain their smile, bite, and ability to chew properly without the need for replacement options such as dental implants or bridges.

Not all cases of persistent periapical pathology are suitable for periapical surgery, and a comprehensive evaluation, including clinical examination, radiographic assessment, and consideration of patient factors, is essential in determining the most appropriate treatment approach.

From your initial consultation to post-operative care, we will guide you through every step of the process with compassion and professionalism. Don't let dental pain hold you back. Schedule a consultation with Cameo Dental Specialists today for periapical surgery in Elmhurst. For more information, call (630) 446-2921.

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Periapical Surgery Elmhurst IL
Periapical surgery performed by an endodontist can be the key to saving a tooth when a root canal doesn't heal accordingly. Learn more on our website!
Cameo Dental Specialists, 148 N. Addison Ave, Elmhurst, IL 60126 ~ (630) 425-4488 ~ cameods.com ~ 5/1/2024 ~ Page Keywords: dental implants Chicago IL ~