When tooth decay leads to an infection that requires root canal therapy, in the vast majority of cases (about 90%), the procedure is successful and there are no complications. But for various reasons, a new infection can occur in the root tip and the surrounding area. If this happens, you can come in to see our Brooklyn emergency dentist. There are several options for addressing this problem depending on your unique circumstances, including endodontic retreatment, which is essentially the same as doing a root canal therapy to begin with. In the worst case scenario, you might end up losing the tooth. And then there is a safe and effective procedure called an apicoectomy, also known as a root end resection.
Our Brooklyn emergency dentist can perform this to save your tooth while at the same time eradicating the underlying infection, along with the pain you are most likely feeling from it. After numbing you sufficiently with a local anesthetic, Dr. Feinburg will cut open your gums in the area of the infected tooth, in order to see the bone and detect the tissue that needs to be removed. The tip of the root will also be removed, and then a special filling will be applied as a precaution against any additional infections. To close the procedure, the gums will be sutured shut.
After you have had a root end resection from our Brooklyn emergency dentist, you may notice some discomfort and swelling. Either over-the-counter or prescription pain medication can be used to provide the needed relief. The bone will heal over the course of a few months. The advantage of getting this procedure done is that you get you keep your natural tooth, thereby avoiding an extraction and having to get a restoration such as a dental implant or bridge to replace it; and if you decided not to get a restoration for any reason, your other teeth could shift, you would find that your smile was affected if it’s a front tooth, or your chewing ability if it’s a back tooth. What is most important to remember is that we’re here for you when you need us. If you have a toothache, call us right away.