Understanding Apicoectomy
An apicoectomy, also known as root-end resection or periapical surgery, is a specialized microsurgical procedure that removes the tip of a tooth’s root to treat persistent infections after root canal therapy. This treatment is often recommended when a previous root canal has not fully resolved the issue, allowing patients to preserve their natural teeth and avoid extraction.
An apicoectomy specialist performs this precise procedure for both adults and children. It helps maintain facial structure and prevents the need for extensive restorations like dental implants. Endodontists specializing in complex root treatments are best equipped to handle these cases for optimal outcomes. Learn more about advanced dental procedures on our blog.
Reasons for Apicoectomy
Some of the most common reasons we recommend an apicoectomy include:
- Failed root canal treatment: In some cases, bacteria remain in the canal system, and symptoms return. Root end surgery addresses the infection without removing the tooth.
- Residual infection: Despite root canal success, lingering bacteria in the surrounding bone or tissue can cause recurring infections that only surgery can resolve.
- Canal anatomy complications: Unusual canal structures, like additional or curved roots, may make complete cleaning impossible during the initial root canal.
- Root canal obstruction: Mineral deposits (calcification) or debris can block the root canal, preventing proper disinfection and filling.
- Access for endodontic retreatment: If a restoration, such as a crown, cannot be removed without damage, a dentist can approach the tooth from the root instead.
- Presence of cysts or granulomas: These lesions often form at the root tip and must be surgically removed to restore health.
- Tooth fractures or cracks: Apicoectomy can sometimes help manage and contain the damage from cracks that have reached the root.
Whether you’re experiencing post-root canal pain or your dental X-rays reveal an infection at the root tip, our team is here to provide expert care through our proven apicoectomy procedure.
Procedure Breakdown
Apicoectomy is a precise, minimally invasive procedure that typically takes 30 to 90 minutes, depending on factors such as the tooth’s location, root shape, and accessibility. Front teeth are generally quicker to treat than molars due to their simpler anatomy. Prior to surgery, we conduct a thorough diagnostic evaluation using digital X-rays or a 3D CBCT scan to assess the infection and root structure, ensuring accurate and effective treatment planning.
The procedure begins with the administration of local anesthesia to ensure a completely pain-free experience. Using microsurgical instruments, our specialist makes a small incision in the gum near the affected tooth and gently retracts the tissue to expose the bone and infected root tip. The infected portion and any surrounding damaged tissue are removed, and a small root-end filling is placed to seal the root and prevent further infection.
Our advanced techniques include the use of magnification and ultrasonic instruments for enhanced precision and comfort. The gum is then repositioned and sutured, allowing for efficient healing. This expert approach delivers a high success rate while preserving the natural tooth, supporting long-term oral health, and patient well-being.
Post-Procedure Care
After an apicoectomy, it’s normal to experience mild discomfort, swelling, tenderness, or minor bleeding near the treated area, which typically subsides within a few days. Over-the-counter or prescribed pain relievers can help manage symptoms. Resting with your head elevated and avoiding strenuous activity supports recovery. Your dentist may prescribe antibiotics to prevent infection and will provide specific aftercare instructions. Maintain good oral hygiene by brushing and flossing carefully away from the surgical site, and gently rinsing with warm salt water several times daily. Stitches are usually removed within a week, and most patients resume normal activities within 24 to 48 hours.
Our skilled team at Apex Endodontics and Implantology Specialists provides personalized dental retreatment services, including apicoectomies designed for long-lasting results. If you’re experiencing persistent discomfort, infection, or swelling after a root canal, an apicoectomy may be the solution. We offer expert, compassionate care in a modern, state-of-the-art environment, guiding you through every step, from diagnosis to recovery. Don’t let ongoing dental issues affect your oral health. Contact us today to schedule a consultation with a root canal specialist and determine if periapical surgery suits you.
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Can not speak higher of Dr. Prakash or her staff. I have Terrible anxiety,(I bring a stress ball to my appointments) especially when it comes to the dentist, but Dr.Prakash does phenomenal work. Super nice and...
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had a great experience here! The staff was very friendly and attentive. I went for a root canal and was extremely pleased with the entire process from start to finish. The doctor took the time to explain in detail and answered all my questions...
Dave H
Had a very pleasant experience with Dr. Prakash. She is really professional and warm. I had a complicated tooth, and she made the process look so easy, no pain after, very easy recovery...
Zhanna Shybaila
I was referred by my dentist for evaluation and root canal. The staff were welcoming, reassuring from beginning to end. Dr Prakash was very gentle, took time to review with me after her exam and explained the procedure...
Beth
Dr. Prakash & her team are amazing. I had an infection on an existing root canal & needed a re-treat done on my molar tooth. She took care of me from start to finish. If you are looking for an Endodontist she is the person to go to.
Teonie Rios
I had my rootcanal treatment done with Dr. Prakash. She was very patient and explained me thoroughly about the problem and the treatment done. I had a pleasant and painless experience with her. She saved my tooth from...
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