The Latest Advances in Endodontic Surgery: Technologies and Techniques


A toothache is a commonly occurring oral condition that can be quite painful at times. However, most toothaches are treatable and can be resolved easily without resorting to teeth extraction. But in some cases, if the tooth cannot be saved by root canal treatment, your doctor may refer you to an endodontist to determine if the tooth can be saved by endodontic surgery. If you are interested in learning more about endodontic surgery and its latest advancements, this is the right article for you.


Endodontic Surgery: What is it?


Before learning about what endodontic surgery is, you need to have a good understanding of root canal treatment. Root canals are non-surgical endodontic procedures that are used for the treatment of a damaged or infected tooth. During this treatment, the infected section (pulp centre) is usually removed, cleaned, and sealed to prevent re-infection.

Endodontic surgery, also known as apical surgery or apicoectomy, is a surgical, dental procedure that is required when the tooth cannot be saved holistically. This procedure also involves removing the infected part. This is done by making a small incision in the gum tissue. After the infected pulp has been removed, the root of the tooth is repaired and then closed with sutures.

This treatment may be necessary in the following instances:

  • If the tooth shows signs of extreme decay and deterioration.
  • The issue doesn’t resolve following a successful root canal treatment.
  • Repeated dental treatments or restorations.
  • To locate hidden cracks or fractures.

Root canal treatment and endodontic surgery may seem similar, but they differ in terms of their treatment approach. The latter is used for more complicated dental procedures, while root canals are usually used for less serious issues.


Endodontic surgery: Latest advancements


Endodontic surgery has undergone many changes and advances over the last decade, resulting in better diagnostic methods, more efficient treatment techniques, and enhanced outcomes.

Let’s take a look at the recent advances:

Root-end filling material

Over the past few years, the use of dental amalgam has seen a rapid decline. This substance was used by many dentists to fill the root-end of teeth. However, with recent advancements, other filling materials such as glass ionomers and resin-based composites have now become the number one choice. These substances have antibacterial properties resulting in faster recovery healing and better outcomes.

Laser therapy

This technology is increasingly being used for dental conditions as it is safe and effective. Furthermore, the laser’s ability to ablate and disinfect teeth and extract foreign material has made it an invaluable addition to the field of dentistry, and most specifically, endodontic surgery.

Cone beam computed tomography (CBCT)

Radiography is one of the most important investigation tools for dental problems. X-rays and CT scans provide useful information to determine the cause of the issue and to direct the treatment approach. However, over recent years, CBCT has become a popular imaging tool, as it provides a precise 3D imaging of the affected area. This makes it easier for the endodontist to assess and manage the dental concern. It also helps the specialist to perform the surgery with minimal risks leading to better outcomes.

Regenerative endodontics

This process leverages the idea of using tissue engineering to get the root canals back to their original and healthy condition. With this technique, new tissue can be encouraged to grow, and the tooth’s functionality can be restored with the use of stem cells, growth factors, and other biologic materials.


Consult a leading endodontist for your endodontic surgery


Does your tooth still bother you despite having had a root canal? Get an experienced endodontist in Singapore to diagnose and treat your issue properly. Reach out to the leading dental clinic in the country – The Endodontic Office. Their highly qualified and competent dental specialists will ensure you are treated appropriately and with respect and dignity. Contact their professional team now!