Can an Apicoectomy Be Done Twice?


May 10, 2024

When it comes to oral surgery, there are several procedures that can be performed to preserve your natural teeth and improve your oral health. One such procedure is an Apicoectomy, a common endodontic surgery in Rhode Island. But can it be performed more than once? Let's delve into this topic.

Understanding Apicoectomy

An Apicoectomy, also known as root-end resection, is a surgical procedure performed by an endodontist or oral surgeon like Dr. Ray English at RI Oral Surgery & Implant Center in Cranston, RI. The procedure involves removing the tip of a tooth's root, then placing a root-end filling to prevent reinfection. It's typically done when a traditional root canal treatment isn't enough to save a tooth. 

When is an Apicoectomy Necessary?

An Apicoectomy is usually recommended when an infection persists in the bony area around the end of your tooth following a root canal procedure. It's also considered when a tooth that has previously undergone root canal treatment becomes infected again. In such cases, an Apicoectomy in Rhode Island can help save the tooth and maintain your oral health.

Can an Apicoectomy be Performed Twice on the Same Tooth?

Undergoing an Apicoectomy more than once on the same tooth is relatively rare, but there are circumstances where it might be considered. The decision to perform a second Apicoectomy typically arises when the first procedure does not achieve the desired outcome, such as when an infection recurs or persists at the tip of the tooth's root, indicating that the initial removal of the root tip and surrounding infected tissue wasn't completely successful. It's crucial to have a thorough discussion with your doctor about the potential risks and benefits before deciding on a second procedure.

What to Expect During a Second Apicoectomy

A second Apicoectomy procedure is similar to the first one. The oral surgeon will make a small incision in your gum to expose the bone and remove any inflamed or infected tissue. After the root-end is removed and the area is cleaned, a filling is placed and the gum is stitched back. The procedure is performed under local anesthesia, ensuring patient comfort throughout.

Recovery and Aftercare

The recovery and aftercare for a second Apicoectomy are similar to the first procedure. Patients may experience some discomfort and swelling, which can be managed with prescribed pain medication and ice packs. It's important to follow all aftercare instructions provided by your oral surgeon to ensure a smooth recovery and successful outcome.

Ready to Improve Your Oral Health?

If you're experiencing persistent tooth pain or infection after a root canal, an Apicoectomy in Rhode Island may be the solution you need. Dr. Ray English at RI Oral Surgery & Implant Center is experienced in performing Apicoectomies and is dedicated to preserving your natural teeth and improving your oral health. To discuss your options and determine if a second Apicoectomy is right for you, call us today at (401) 732-1188 to schedule an appointment.

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Book a Consultation

Are you interested in dental implants or in finding out if you’re a good candidate for oral surgery? Schedule a consultation with Dr. Ray English III today! He’ll take the time to get to know you, and provide treatment plan options that are tailored to your unique needs, so you can get the care that’s right for you.

RI Oral Surgery & Implant Center

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