In some cases, even after performing a root canal, proper healing of the inflammatory lesion around the tip of the root cannot be achieved.
In some cases, it is not even possible to renew the treatment due to the invention of screws in the canals, because of anatomy that does not allow access to the lesion area, because they want to avoid dismantling large and expensive restorations, when it is not possible to achieve a good sealing of the end of the root or as a complementary treatment to accelerate healing after resuming root canal treatment.
In order to remove the inflammation and the tip of the root, which also has a procedure called "tip amputation the tooth" or "episectomy".
Episectomy treatment course
The procedure is done under local anesthesia, opening a small "window" in the gums in the area next to the lesion, cleaning the area, trimming the end of the problematic root and sealing the opening of the canal with a sealing material. The gums are then sewn into place.
Initial healing is achieved within a few days and healing of the lesion after a few months