Root Canal Surgery In Singapore: What You Need To Know

Root canal surgery can seem intimidating to those unfamiliar with the procedure, but it is often essential for treating complex infections or saving a tooth when standard root canal treatment is not sufficient. In Singapore, this specialised procedure is widely available and performed by qualified dental professionals. Here is an in-depth look at what it involves, its benefits, and what you should expect if you require this treatment.

What Is Root Canal Surgery?

Root canal surgery, also known as an apicoectomy, is a minor surgical procedure that targets the infected or damaged pulp in a tooth. Unlike standard root canal treatment, which is a non-surgical approach, root canal surgery involves accessing the root of the tooth through a small incision in the gum. This surgery is typically recommended in cases where there is persistent infection at the root tip that standard treatment cannot fully resolve. The goal is to save the tooth, eliminate infection, and restore dental health without requiring extraction.

Difference Between Root Canal Treatment And Root Canal Surgery

Understanding the difference between the two can help you determine which procedure might be appropriate for your situation:

• Root Canal Treatment (RCT) – This is a non-surgical procedure that involves removing the infected pulp inside the tooth and cleaning the root canal. Dentists perform RCT as the first line of action for treating pulp infections or inflammation. During RCT, the infected pulp is removed, the canal is thoroughly cleaned, and the space is sealed to prevent future infection. Most standard cases of pulp infection can be successfully treated with RCT.
• Root Canal Surgery (Apicoectomy) – Root canal surgery is a surgical procedure performed when an infection persists despite RCT or if there are complications at the root’s tip (apex). In this surgery, the dentist makes an incision in the gum to access the infected area directly at the root tip, removing the infected tissue and any affected bone. This surgical approach is also suitable for patients with complex root canal structures or severe infection that cannot be resolved with standard RCT.

In summary, root canal treatment is the initial, non-surgical approach, while root canal surgery is a secondary, surgical option used when more invasive intervention is necessary.

Why Would You Need Root Canal Surgery?

The need for root canal surgery may arise if you experience a recurring infection in a tooth that has already undergone RCT, or if there is a difficult-to-access infection in the root. This procedure is often recommended for cases involving:

• Persistent pain and sensitivity after RCT
• Complications at the root tip that prevent successful treatment with RCT
• Complex root canal structures or blockages within the root canal
• Small fractures or other damage near the root that standard treatment cannot address

Root canal surgery allows the dentist to thoroughly remove infection and address issues at the root level, preserving the tooth for the long term.

How Does The Root Canal Surgery Procedure Work?

1. Examination And Imaging – The process begins with a thorough examination, often including X-rays or other imaging techniques to assess the exact location and extent of the infection.
2. Local Anaesthesia – The area is numbed with local anaesthesia to ensure a pain-free experience during the surgery.
3. Incision And Accessing The Root – The dentist will make a small incision in the gum to expose the tooth root and surrounding bone. This allows direct access to the infected area at the root tip.
4. Removal Of Infected Tissue And Root Tip – The infected tissue and the tip of the root (known as the apex) are removed. In some cases, the dentist may need to treat the surrounding bone if the infection has spread.
5. Sealing The Root – After cleaning the root and removing infected tissue, the dentist will seal the end of the root to prevent further infection.
6. Suturing The Incision –The gum tissue is sutured to close the incision, and the area is allowed to heal.

Benefits Of Root Canal Surgery

Root canal surgery offers several critical benefits for patients with persistent infections or complex dental issues:

• Preserves The Natural Tooth – By treating the infection at the root level, root canal surgery can save the natural tooth and avoid extraction.
• Pain Relief – Removing the infected tissue eliminates pain and discomfort that may persist after standard root canal treatment.
• Prevents Further Infection – Sealing the root after surgery prevents bacteria from re-entering the tooth, reducing the risk of future infections.
• Effective for Complex Cases – This procedure is specifically designed to address cases that RCT cannot resolve, providing a comprehensive solution for difficult-to-treat infections.

What Is The Recovery Process Like?

After root canal surgery, it is common to experience some mild discomfort, swelling, or sensitivity in the treated area for a few days. Dentists often recommend pain relief medication and advise patients to rest and avoid chewing on the affected side. Maintaining good oral hygiene and following the dentist’s post-operative care instructions are essential for a smooth recovery.

Costs Of Root Canal Surgery In Singapore

The cost of root canal surgery in Singapore typically starts from about S$2,000, depending on factors like the complexity of the procedure and the tooth involved. Additional fees may apply for consultation, imaging, and follow-up appointments. It is best to consult your chosen clinic for detailed pricing information. Currently, root canal surgery is the only endodontic procedure that is claimable under MediSave.

Consult Our Preferred Doctor On Your Root Canal Surgery

Dr Johnathan Wee is the Clinical Director at Advent Endodontics Inc and a consultant endodontist in Singapore. He focuses on managing dental trauma, endodontic retreatment techniques, and post-endodontic restorative outcomes. He is also formally trained in the use of the surgical operating microscope (SOM) since 1998 as an enabler in his clinical delivery of high quality treatment. 

Frequently Asked Questions About Root Canal Surgery

Is Root Canal Surgery Painful?
With local anaesthesia, root canal surgery is generally a painless procedure. You may feel mild discomfort or soreness during recovery, but this can usually be managed with prescribed pain medication.

How Long Does The Surgery Take?
Root canal surgery often takes around 90 minutes per session. In complex cases, multiple sessions may be required.

Will I Need A Crown After Root Canal Surgery?
In most cases, a crown is recommended to protect the treated tooth. Since the tooth may be more fragile after surgery, a crown helps restore its strength and functionality.

Key Takeaway

Root canal surgery is an effective solution for treating complex tooth infections and preserving the natural tooth in cases where standard root canal treatment is not enough. In Singapore, patients can rely on highly skilled endodontists and dental professionals who use advanced techniques to ensure a safe and successful experience. If you experience persistent tooth pain or an infection after standard root canal treatment, consult a specialist to determine if root canal surgery is the best option for you.

Related Articles On Health365

• Root Canal Treatment: What To Expect
• Understanding Root Canal: Why, When, And How To Preserve Your Natural Tooth
• Root Canal Retreatment: Pain, Procedure, And What To Expect