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Dr. Ian Boyd
#101 – 9840 Fifth St
Sidney, BC   V8L 2X3
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“If you want to be successful in a particular field of endeavour, I think perseverance is one of the key qualities. It’s very important that you find something that you care about, that you have a deep passion for, because you’re going to have to devote a lot of your life to it.”
- George Lucas

"We are what we repeatedly do. Excellence, therefore, is not an act but a habit."
- Aristotle

"Fine Dentistry is a work of love. We didn’t launch into this project just with the idea of making money."
- Dr. Ian Boyd

"Your mouth is the ultimate accessory."
- Dr. Ian Boyd

"Quality is never an accident; it is always the result of high intention, sincere effort, intelligent direction, and skillful execution. It represents the wise choice of many alternatives."
- William A. Foster

"You will never go wrong when you select quality."
- Dr. Ian Boyd

If you think you can or cannot . . .you are probably right.

“We have the ability to change people’s lives. Their eyes and smiles are two of the most important aspects of their appearance.”
- Anonymous

Through years of helping people improve their smiles, Dr. Boyd has developed a good understanding of the importance of a great smile and how people feel when the smile is less than ideal.

Precision care and attention to detail take time."

“These days, most dentist’s chairs go up and down, don’t they? The one I was in went back and forwards. I thought, “This is unusual”. And then the dentist said to me “OK Mr. Vine – time to get out of the filing cabinet”.
- Tim Vine

“Be true to your teeth and they won’t be false to you.”
- Soupy Sales

"I am as old as my tongue and a little older than my teeth."
- Anonymous




Online Dental Education Library

Our team of dental specialists and staff strive to improve the overall health of our patients by focusing on preventing, diagnosing and treating conditions associated with your teeth and gums. Please use our dental library to learn more about dental problems and treatments available. If you have questions or need to schedule an appointment, contact us.

Patient Information | Smile Services | Before and After Gallery

Root Canal Surgery

What is endodontic surgery and why would I need it?

When one option is endodontic surgery, the only other option is oral surgery to extract the tooth in question. Endodontic surgery is one of the last steps to try to save your tooth in a variety of situations.

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Surgery may be used in diagnosis to allow us to examine the root of the tooth to try to find what is causing the pain and, hopefully, provide the necessary treatment. Sometimes there are symptoms but no evidence of those symptoms appears on an x-ray or by examining the tooth in your mouth.

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Blocked Canals

Sometimes calcium deposits make a canal too narrow to treat the tooth with conventional procedures used in non-surgical root canal treatment to reach the end of the root. If your tooth has this "calcification," surgery maybe needed to clean and seal the remainder of the canal from the tip of the root.

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Unsuccessful Conventional Treatment

A tooth that has undergone a root canal can usually last the rest of your life without needing further endodontic treatment. However, in a few cases, a tooth may fail to heal. The tooth may become painful or diseased months or even years after successful treatment. If this is the case, surgery may help save your tooth.

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Split Root

Surgery may also be performed to treat damaged root surfaces or surrounding bone.

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Although there are many surgical procedures that can be performed to save a tooth, the most common is called an apicoectomy. When inflammation or infection persists in the bone area around the end of your tooth after a root canal procedure, an apicoectomy may be needed.

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Other types of endodontic surgery

Other endodontic surgeries include dividing a tooth in half, repairing an injured root, removing one or more roots as well as performing a root canal on a newly extracted tooth and then placing the tooth back in its socket. All of these procedures are designed to try to save the tooth.

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Success of endodontic surgery

There are no guarantees with any surgical procedure but if surgery is recommended then we feel that the risk is worth the benefit. Our goal is to provide you with information so that you can make an informed decision that is best for your long term health.

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Options instead of endodontic surgery

Often, the only alternative to surgery is extraction of the tooth. The extracted tooth must then be replaced with an implant, bridge, or removable partial denture to restore chewing function and to prevent adjacent teeth from shifting. Because these alternatives require surgery or dental procedures on adjacent teeth, which might not otherwise require treatment, endodontic surgery is usually the most cost-effective and conservative option for maintaining your oral health.

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Diagrams of an apicoectomy procedure

In this procedure, an opening is made on the gum tissue near the tooth to see the underlying bone and to remove any inflamed or infected tissue. The very tip of the root is also removed. A small filling is usually placed to seal the tip of the root so nothing enters into the canal from inside the body, and a few stitches or sutures are placed in the gum to help the tissue heal properly. Over a period of months, the bone heals around the end of the root.

A tooth with an infection at the root tip

A tooth with an infection at the root tip

The procedure is completed

The procedure is completed

n apicoectomy procedure is performed

An apicoectomy procedure is performed

After a few weeks, the bone around the tooth has healed

After a few weeks, the bone around the tooth has healed

Questions or Comments?
We encourage you to contact us whenever you have an interest or concern about our services.

(250) 656-7553