Still experiencing discomfort months after a root canal? Has your tooth been treated, but something still doesn’t feel right? Before you give up on saving that tooth, consider a cutting-edge solution: Root Canal Microsurgery.

At The Endodontic Office, we offer precision microsurgical techniques to address persistent or hidden issues that conventional root canals may miss. This advanced treatment, also known as an apicoectomy, can eliminate infection, preserve your natural tooth, and bring lasting relief—even after previous treatments have failed.

Don’t let lingering dental pain take control of your life. Get expert help now with the power of microsurgical care.

What Is Root Canal Microsurgery?

Root canal microsurgery, or endodontic microsurgery, is a highly specialised procedure used when a standard root canal or retreatment cannot fully resolve an issue. One of the most common forms of this procedure is an apicoectomy, where the very tip of the tooth’s root (called the apex) is removed along with any infected tissue and then sealed to prevent reinfection.

Unlike traditional methods, this procedure is performed under a powerful surgical microscope, giving our specialists unparalleled visibility and control. At The Endodontic Office, this precision ensures a minimally invasive, highly effective solution for even the most complex cases.

When Is Root Canal Microsurgery Needed?

You might need root canal microsurgery if:

• You have persistent pain or swelling in a previously treated tooth
• A previous root canal or retreatment has failed
• There’s a hidden fracture or canal that wasn’t detected earlier
• Infection or cysts have formed near the root tip
• Traditional access is blocked due to obstructions or restorations
• You want to avoid tooth extraction when other options are limited

Our endodontists at The Endodontic Office will conduct a thorough examination and imaging to determine whether microsurgery is right for you.

Benefits Of Root Canal Microsurgery At The Endodontic Office

Choosing The Endodontic Office for your microsurgical procedure means you’ll benefit from:

• Specialist expertise: Performed exclusively by experienced endodontic surgeons
• Enhanced precision: We use high-powered microscopes and microsurgical instruments for better outcomes
• Tooth preservation: Avoid unnecessary extractions and maintain your natural smile
• Minimal discomfort: Microsurgical techniques are designed to reduce trauma and speed up healing
• Customised care: Your treatment is tailored to your individual condition and long-term dental health

What To Expect During Root Canal Microsurgery

Here’s how we carry out root canal microsurgery at The Endodontic Office:

1. Detailed Diagnosis

We begin with a comprehensive evaluation, including digital imaging and 3D scans. This helps us understand the full scope of the problem and determine whether surgery is necessary.

2. Anaesthesia & Comfort

Local anaesthesia is used to numb the area completely. We take every step to ensure you’re comfortable and relaxed throughout the procedure.

3. Accessing The Root

A small incision is made in the gum near the affected tooth to expose the root tip. We then remove any inflamed or infected tissue.

4. Removing The Root Tip

The apex (tip of the root) is carefully trimmed, and the canal is cleaned from the root end. If necessary, a small filling is placed to seal the root.

5. Sutures & Healing

The area is closed with fine sutures to aid healing. Most patients return to normal activities within a day or two.

The procedure typically lasts 60 to 90 minutes, depending on the complexity. Our focus is on precision, effectiveness, and a smooth recovery.

Post-Operative Care Instructions

To ensure a smooth recovery after your root canal microsurgery, follow these detailed care guidelines:

1. Immediately After Surgery

• Bleeding: Minor bleeding is normal. Bite gently on a gauze pad for 30 minutes to control it. Replace as needed.
• Swelling: Apply an ice pack to the area for 10–15 minutes every hour for the first 6 hours to reduce swelling.

2. Eating & Drinking

• Soft foods only: For the first 24–48 hours, stick to soft foods like yoghurt, mashed potatoes, or soup. Avoid hot, spicy, or hard foods.
• Hydration: Drink plenty of fluids, but avoid drinking through straws for the first day as suction may disrupt healing.
• No alcohol or smoking: These can delay healing and increase infection risk.

3. Oral Hygiene

• Avoid brushing the surgical site on the first day. After that, gently clean the area with a soft toothbrush.
• Rinse with warm salt water (1 tsp salt in a cup of warm water) 2–3 times daily, starting the day after surgery.
• Do not use mouthwash with alcohol until healing is complete.

4. Activity

• Rest on the day of the surgery and avoid strenuous activity for at least 48 hours.
• Sleep with your head elevated for the first night to minimise swelling.

5. Sutures & Follow-Up

• Sutures are typically removed after 5–7 days.
• Attend all scheduled follow-up appointments at The Endodontic Office to monitor healing and ensure success.

When To Call Us

Contact The Endodontic Office immediately if you experience:

• Increasing pain after 3 days
• Persistent swelling or bleeding
• Fever or chills
• A bad taste or discharge from the site

FAQs: Root Canal Microsurgery

Q1: Is microsurgery painful?

A: No. The procedure is performed under local anaesthetic and is typically pain-free. Some mild soreness may occur afterwards, but this is manageable with medication.

Q2: What’s the difference between root canal retreatment and microsurgery?

A: Retreatment is done from inside the tooth, while microsurgery accesses the root from the outside, usually when retreatment is not possible or has failed.

Q3: How long does recovery take?

A: Most patients feel back to normal within 2 to 3 days. Full healing under the bone may take several months, but discomfort usually resolves quickly.

Q4: Will I need a crown or filling after microsurgery?

A: Often, no further restoration is needed unless your existing crown is compromised. We’ll assess this as part of your treatment plan.

Q5: Is microsurgery always successful?

A: Root canal microsurgery has a high success rate, especially when performed by an endodontic specialist. At The Endodontic Office, we take every step to maximise long-term success.

Book Your Consultation Today

Your tooth deserves another shot, especially when expert care is within reach. If past treatments haven’t resolved your dental issue, root canal microsurgery at The Endodontic Office could be the solution you’ve been waiting for.

Don’t let pain linger. Call us today or book online to schedule your expert consultation and take the next step towards lasting relief.