.png){kind=logo}
Apical Surgery
A procedure used to treat infections that cannot be addressed through traditional root canal treatment.
What is Apical Surgery?
Also known as an apicectomy, apical surgery is a procedure that may be considered when an infection persists despite previous root canal treatment.
The goal of an apicectomy is to manage infection at the root tip by removing the final few millimetres of the affected area. This procedure requires surgical access and involves a small incision in the gums, allowing the endodontist to directly view and treat the root tip.
At Camberwell Endodontics, our team uses operating microscopes and specialised equipment to support precise treatment.
What’s the Difference Between Root Canal Treatment and Apical Surgery?
While both treatments address an infected tooth, they differ in approach:
-
Root Canal Treatment: Focuses on cleaning and sealing the root canal system to eliminate infection. This typically takes two visits.
-
Apical Surgery: Removes the infected tip of the root and surrounding area in a single visit, providing an alternative when traditional treatment isn’t an option.
Why Might I Need Apical Surgery?
Apical surgery may be recommended for a few reasons:
-
A tooth has previously undergone root canal treatment (sometimes more than once), yet an infection persists. This can happen in approximately 10% of cases, and your Endodontist will discuss the potential causes with you.
-
Conventional root canal treatment is not possible, often due to posts in the root canal that prevent access.
Is Apical Surgery Performed Under Local Anaesthetic?
Yes, most apicectomies are straightforward procedures performed under local anaesthetic, ensuring patient comfort throughout.
What Can I Expect After Apical Surgery?
Apical surgery typically takes around an hour to complete. After the procedure, small stitches are placed and are usually removed within a week. Some patients may experience mild discomfort, swelling, or bruising during the first week. Using an ice pack and taking mild analgesics, such as Nurofen or Panadol, can help manage any discomfort. Recovery times vary, but some patients may feel comfortable returning to work within a couple of days.
ENDODONTIST
Dr. Luke Moloney
With over 30 years of experience in endodontics, Dr. Luke Moloney has extensive experience in the field. As a Consultant Endodontist at the Royal Children’s Hospital and an Honorary Senior Fellow at the Melbourne Dental School, Dr. Moloney has contributed to clinical care and dental education.
ENDODONTIST
Dr. Artika Soma
Dr. Artika Soma is an experienced endodontist with a strong background in clinical care. She is committed to providing patient-focused treatment. Alongside her clinical work, she has been involved in teaching and mentoring future dental professionals, contributing to the development of endodontic education.
ENDODONTIST
Dr. Matthew Filei
With decades of experience in endodontics, Dr. Matthew Filei provides specialist care with a focus on patient well-being. His clinical approach focuses on careful treatment planning in a supportive environment. In addition he shares his expertise through ongoing involvement in dental education.
Camberwell Endodontics - Decades of Endodontic Care and Experience
Frequently Asked Questions
Understanding Endodontics
Endodontic treatment, also known as a 'root canal', is a procedure that removes infected or inflamed pulp inside the tooth. The space is cleaned, disinfected, and sealed to prevent further infection, helping to preserve the natural tooth.
Read more about endodontic treatment and how we provide endodontic care here.
In most cases, the alternative to a root canal is tooth extraction.
Read more about what endodontics is here.
Yes, Endodontists may be able to treat cracked, dislodged, or knocked-out teeth resulting from injury. Seeking prompt care improves the chances of saving the tooth.
Read more about our dental trauma and injuries service here.
Your Endodontic Treatment
At Camberwell Endodontics, we aim to provide a professional and communicative experience for patients. From your initial consultation through each step of treatment, our team will guide you with clear information, so you know what to expect.
The number of visits for endodontic treatment varies depending on a number of factors.
Patients travelling from regional areas or interstate should notify the clinic in advance so appointments can be scheduled efficiently. In some cases, treatment can be planned over fewer visits, depending on clinical factors. Contact us here.
As with any procedure, there are potential risks. These vary according to a number of factors such as the disease process and the type of tooth infected.
Success rates vary according to the complexity of case and tooth involved. Endodontic treatment generally has a high success rate but if the Endodontist believes your tooth may be compromised, this will be discussed with you at your consultation visit.
Our team is available to discuss any concerns and provide guidance throughout your treatment.
Learn about the specialised tools and techniques that we use in our endodontic treatments to support your treatment outcomes.
Most patients can safely undergo endodontic treatment. However, those with heart valve conditions or who have had heart valve surgery should inform their clinician before treatment. Patients with prosthetic joint replacements within the past two years may require additional precautions.
Please let us know of any specific medical concerns so we can plan your treatment appropriately.
Pain Management & Aftercare
Modern root canal treatment is performed under local anaesthesia, and most patients find it comparable to having a filling. Treatment helps relieve pain caused by infection or inflammation.
Read more about what to expect after treatment and how to manage post-treatment pain.
It is normal to experience mild discomfort or sensitivity for a few days, which can be managed with over-the-counter pain relief. Avoid chewing hard food on the treated tooth until a permanent restoration is placed.
Visit our managing dental pain page for more information on how to care for the area post treatment.
In many cases, yes. A crown helps to strengthen and improve the appearance of the treated tooth. Your dentist will advise on the best restoration.
While root canal treatment has a high success rate, in some cases, additional treatment such as retreatment or apical surgery may be needed.
If the tooth develops a cracked root, then extraction is often necessary.
Read more about these additional treatments in Our Services section.
Patient Comfort & Safety
Camberwell Endodontics understands that many patients feel nervous about dental procedures. Our team aims to create a calm, supportive environment and takes the time to explain each step of treatment. Some patients like to bring their own music and device with headphones as a distraction during treatment.
We encourage you to discuss any concerns with us beforehand to help ensure a comfortable experience.
A rubber dam is a protective sheet placed around the tooth during treatment to create a clean, isolated field. It helps prevent contamination, enhances infection control, and ensures that water and materials do not enter the mouth. Rubber dam is used for all endodontic treatment and is mandated by dental regulations.
Read more about our use of specialised tools and techniques to support your treatment outcomes.
Fees, Insurance & Booking
Many patients are referred by their general dentist, but while a referral is not necessary, the more information provided will help us triage.
Contact us here to discuss your situation and requirements.
Camberwell Endodontics is committed to transparency in fees and can provide itemised accounts for dental insurance purposes. On-site HICAPS rebate processing is available for added convenience. Our team is happy to answer any questions about treatment costs.
Contact us here.
Private health insurance plans may provide a rebate for endodontic treatment. It is best to check with your insurer to confirm your coverage.
You can schedule an appointment by calling Camberwell Endodontics. We have three locations.
Find out more and contact us here.