An apicoectomy is a surgical procedure that is typically done when a root canal treatment has failed or when a root canal is not possible due to the shape or location of the tooth’s root. Below are some reasons why you might need an apicoectomy:

• Cracked or damaged roots. If a tooth has been severely damaged or cracked, the root may become exposed and susceptible to infection. An apicoectomy can help to remove the damaged portion of the root and prevent further damage.

• Curved or narrow root canals. In some cases, the shape or location of the tooth’s root can make it difficult for a dentist to access and clean out the infected tissue. In such cases, an apicoectomy can help to remove the infected tissue and preserve the remaining healthy tooth.

• Damaged or diseased tissue. When the tissue surrounding the root of a tooth becomes infected or diseased, an apicoectomy may be needed to remove the affected tissue and promote healing.

• Recurring infection. Even after a root canal treatment, some people may continue to experience pain and swelling due to an infected tooth. An apicoectomy may be needed to treat the infection and prevent it from spreading further.

Here are some common symptoms that may indicate a need for an apicoectomy:

• Persistent pain or discomfort. This pain is often felt as a dull ache that intensifies when pressure is applied to the affected tooth.

• Sensitivity to hot and cold. If you experience sensitivity to temperatures, even after a root canal procedure, it may be necessary to undergo an apicoectomy.

• Swelling or inflammation. This is often due to an infection or something around the root tip that is causing irritation and inflammation.

• Pus or discharge. If you notice a discharge of pus or blood from the affected tooth or surrounding gum tissue, this is a clear sign that there is an infection present and an apicoectomy may be necessary.

• X-ray abnormality. X-rays are often used to diagnose an infection or inflammation around the root tip. If your dentist notices an abnormality on an X-ray, an apicoectomy may be necessary to properly treat the issue and prevent further complications.

If you don’t undergo an apicoectomy, the infection in your tooth and root can continue to spread, leading to further complications and potential tooth loss. This infection can also cause pain, swelling, and discomfort and can even spread to other parts of your body, affecting your overall health.
 
In some cases, the bacteria in the infected tooth can also enter your bloodstream and cause sepsis, leading to life-threatening conditions such as organ failure or septic shock.

While an apicoectomy can be an effective treatment option for many, there are some situations where the procedure may be more urgent than others.
 
If you’ve been experiencing severe pain or discomfort in the affected tooth, or if you have noticed swelling, inflammation, or a bump in the surrounding gum tissue, it’s important to seek treatment as soon as possible. These symptoms may be indicative of a serious infection or abscess, and delaying treatment could lead to further complications or damage to the surrounding teeth and tissue.
 
At the end of the day, the urgency of an apicoectomy will depend on the specifics of your unique situation. However, it’s always recommended to get this treatment done as soon as possible if it’s required, as delaying puts you at risk for complications.
 
At Ideal Endodontics, we pride ourselves on being able to flawlessly execute our treatment services, including apicoectomies. We have convenient locations to serve you in Washington, DC, and Woodbridge, VA. Contact us today for more information regarding our endodontic treatments, or book online to schedule an appointment at your earliest convenience. We serve patients from Washington DC, Woodbridge VA, Arlington VA, Lorton VA, Manassas VA, Springfield VA, Alexandria VA, and Silver Spring MD.