Treating an Abscess Tooth

An abscess is a painful infection at the root or in the gum of a tooth. It occurs when the pulp, the soft tissue inside the root canal, becomes inflamed or infected and goes untreated. The infection can spread to the bone and the gum tissue around the tooth. An abscessed tooth must be treated by a dentist as soon as possible to relieve the pain and prevent further damage.

A toothache is the most common symptom of an abscess, but you may also experience pain when chewing, tooth sensitivity to hot and cold, swelling of the gums, or other symptoms.

There are two types of dental abscesses: periapical and periodontal. Periapical abscesses occur at the tip of the root and are often caused by untreated dental decay or a cracked tooth. Symptoms of periapical abscesses include severe pain, swelling, redness, and tenderness in the gum near the infected tooth. Periodontal abscesses occur between the gum and the tooth’s surface. These types of abscesses are typically caused by poor oral hygiene, gum disease, or tooth trauma. Symptoms include swollen or bleeding gums and pain when chewing or touching the infected area.

A dental abscess is usually treated with a root canal. Our highly trained dental team will remove the inflamed or infected area, clean, shape, fill the root canals, and seal the space. You will return to your dentist, who will place a crown or other restoration on the tooth to protect and restore it to full function. After restoration, the tooth continues to function like any other tooth.

If you think you may have an abscessed tooth, contact our office immediately to schedule an appointment. Our team will provide you with the treatment you need to relieve your pain and prevent further damage. Give us a call today at (251) 210-2773 to request an appointment.

What is an Apicoectomy?

Apicoectomy is also known as root-end surgery, retrograde root canal treatment, or root-end filling. Root end filling is an endodontic surgical procedure where a tooth’s root tip is removed, and a root end cavity is prepared and filled with a material.

This is usually necessitated when a conventional root canal therapy had failed, and a re-treatment was already unsuccessful or is not advised. State-of-the-art procedures make use of microsurgical techniques, such as a dental operating microscope, micro instruments, ultrasonic preparation tips, and calcium-silicate-based filling materials.

Removal of the root tip is indicated to remove the entire apical delta ensuring no uncleaned missed anatomy. After the root tip is removed, a root end cavity is prepared using ultrasonic preparation tips or heated and diamond burrs. The aim of this procedure is to remove all infected tissue from the tooth’s apex.

Once the root end cavity has been adequately cleaned, it may then be filled with a material such as calcium-silicate-based filling materials, which are known for their biocompatibility and bioresorbability. Allowing for great bonding between dentin and fillings as well as preventing residual infection from leaking into the surrounding bone and soft tissues.

While apicoectomies can be done on its own if necessary, they are often paired with conventional root canal therapy to ensure full removal of infected tissue. The success rate for this procedure is around 92 to 98%, depending on a number of factors such as the overall health of the patient, how well the root canal therapy was done previously, etc.

Overall, apicoectomies are an important and effective procedure in treating endodontic infections that have not been successfully treated through conventional root canal therapy. If you are experiencing any symptoms such as pain or swelling in your teeth, it’s best to seek out a dentist for an evaluation and possible apicoectomy treatment.​

As someone who has had an apicoectomy before, I can say that it is a relatively simple procedure with only mild discomfort afterward. However, it is extremely important to ensure that you choose a dentist who is highly skilled in this procedure to ensure your best chances of a successful outcome. So if you are experiencing any symptoms related to endodontic infections, be sure to visit your dentist for an evaluation and possible apicoectomy treatment.​