Endodontists are specialists who take every step possible to save a natural tooth. If an infection persists after a root canal, sometimes an apicoectomy is required to fully get rid of the infection.
So, what exactly is it, and how long does recovery take? Here is a closer look.
What is an Apicoectomy?
Sometimes referred to as root-end surgery, an apicoectomy is a procedure that involves a small incision in the gum surrounding the ailing tooth. The goal is to clean out any infected tissue surrounding the root end. The root is then cleaned and sealed to prevent any further issues.
This procedure may be used in place of a root canal or as a secondary treatment if a root canal has failed to get rid of the infection. Endodontists perform apicoectomies routinely and are a last effort to save your natural tooth.
Apicoectomy Recovery Timeline
While your endodontist will go over all of the aftercare instructions with you, it is always a good idea to know what you can expect. This will make you better prepared to heal more comfortably when the treatment is done.
The First 48 Hours
During the first day or two after an apicoectomy, you should expect some swelling and discomfort. This is normal and temporary. Most endodontists will either recommend an over-the-counter pain medicine or provide you with a prescription for a pain reliever to help minimize any discomfort you are feeling. Additionally, a prescription for an antibiotic may be given to help with the healing process.
A cold compress on the side of the face where the surgery took place can reduce swelling. Following the procedure, it is important to ice the effective side of your face 15 minutes on, 15 minutes off, for the rest of the day until bedtime. Remember, do not apply ice directly to the skin.
Eat soft foods for the first few days after the procedure and keep your mouth clean and clear with routine brushing, just be careful to be very gentle with brushing in the specific area.
The First Week
After the first two days, the rest of the week should have you feeling much better. Your swelling should be going down, but the gum area will remain a little tender and sore. It is recommended to do warm salt water rinses 2-3 times per day to help the area heal better. (½ teaspoon of salt, ½ glass of water, swish around for about 30 seconds and gently rinse out).
After the first week, you should be seen in the office for a follow up visit to make sure everything is healing properly and to take out any remaining stitches that may be present.
The First Month
The first week is down, and you are sliding into the rest of the month. By now, you are healing well with minimal tenderness at the surgical site. As a general rule of thumb, most patients feel fully recovered two to four weeks out from their apicoectomy. Though please understand that it takes longer for signs of healing to show up on a radiograph of the area.
Continue to work with your endodontist to make sure that everything is healing as it should in the long term.
Frequently Asked Questions
Are there any risks or complications associated with an apicoectomy?
Like any surgical procedure, an apicoectomy carries some risks, such as infection, bleeding, or damage to nearby structures (like nerves or sinus cavities). However, these complications are rare when the procedure is performed by an experienced endodontist. Most patients have successful outcomes and retain their natural tooth for many years.
How long does an apicoectomy procedure take?
An apicoectomy typically takes between 30 to 60 minutes, depending on the location of the tooth and the complexity of the case. Front teeth are usually easier and quicker to treat, while molars may take more time due to their position and multiple roots.
Will I need someone to drive me home after the procedure?
If local anesthesia is used without sedation, you can usually drive yourself home. However, if sedation or general anesthesia is used (which is sometimes the case for anxious patients or complex surgeries), you will need someone to accompany you and drive you home afterward.
At Excel Endodontics, our goal is to make every patient’s experience as comfortable and stress-free as possible. We will guide you through every step of the process and ensure a smooth recovery. Have you been experiencing persistent tooth pain? Do you need an apicoectomy? Schedule an appointment today.