Surgical Endodontic Treatment
Certain endodontic conditions do not lend themselves to standard root canal therapy and may require endodontic surgery. If you have persistent symptoms after root canal treatment, your tooth may have a fracture or an extra canal that could not be detected during non-surgical treatment. In this case, endodontic surgery allows Dr. Brothman to examine the entire root of your tooth, find the problem and provide treatment. Sometimes calcium deposits make a canal too narrow, and the instruments used in non-surgical root canal treatment cannot reach to the root end which prevents proper cleaning of the entire root. If this happens or your tooth canals have calcified, Dr. Brothman may perform endodontic surgery to clean out and seal the remainder of the canal.
Usually, a tooth that has undergone a root canal treatment can last the rest of your life and never need further treatment. It is very important that the tooth have a permanent restoration such as a crown to prevent the tooth from chipping or breaking. Well restored root canal treated teeth have a success rate of 90-95%. Sometimes, however, a tooth may not heal properly or it may become infected again. When inflammation or infections persists in the bony area around the end of your tooth after a root canal procedure, Dr. Brothman may have to perform surgery. Although Dr. Brothman can utilize several surgical procedures to save a tooth, the most common root canal surgery is called an apicoectomy, or root-end resection. We will schedule a specific consultation appointment if Dr. Brothman recommends surgical treatment. At that visit, we will review the details of root canal surgery.
Call our endodontic practice to schedule an appointment with Dr. Brothman. Our Bala Cynwyd office serves patients from the Main Line, Philadelphia and the Greater Delaware Valley.
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