The Many Types of Endodontic Surgery

Let Us Break It Down for You!

Did you know that endodontic surgery actually goes beyond the typical root canal procedure? It's true! There are several surgical endodontic procedures that involve different steps, but are all designed with the same goals in mind: to save the patient's natural tooth and maintain optimal function.

Different types of endodontic Surgery

These alternative endodontic procedures include:

Hemisection: A hemisection is performed when decay or bone loss has made its way to the area between the tooth roots, and is generally performed as a temporary solution to allow for proper bone healing. The technique involves dividing the tooth in half for easy access, and then removing any damaged tissue such as the root, bone or crown. The endodontist will try his or her very best to save most of the tooth and leaves any healthy tissue intact. An artificial crown resembling the patient's natural tooth will be fitted at the end in order to provide support and protection.

Root amputation: Also performed as a temporary solution, root amputation involves the removal of one or multiple infected or damaged root(s) from a tooth with multiple roots. A small incision will be made in the gum to access the roots, then the roots will be sectioned off and removed. The site is then cleaned and the incision will be stitched back together. The treated tooth will then receive a crown or filling. It is critical to perform a root canal procedure following root amputation.

Intentional replantation: This procedure involves intentionally removing a tooth, quickly treating it, and then immediately reinserting it back into its socket. If a restoration with a dental implant or bridge is not practical, intentional replantation is an option.

Autogenous tooth transplantation (or auto-transplantation): This is another related procedure involving the placement of a tooth from an inconspicuous area to the site of a recently extracted tooth. This procedure is most successful in younger patients. Transplanting a patient's wisdom tooth (or third molar) is ideal, as patients do not require these teeth to begin with.

Trusting the Endodontist

While these procedures may sound very complicated or even risky, it's important to remember that endodonists are specially trained to perform these procedures, and have a lot of experience in doing so. In addition to this, the success rates for each of these surgeries are exceptionally high – so there's really not much to worry about if you happen to require any of these treatments in the future!

Want to learn more?

If you're interested in learning more about these other endodontic procedures, don't hesitate to contact your local Scarborough endodontist; Dr. Lance Isaac today. He'd be happy to provide you with more information during your consultation.