Apicoectomy

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, such as 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 necessitating the removal of the tooth.

Residual infection: Despite successful root canal treatment, lingering bacteria in the surrounding bone or tissue can cause recurring infections that can only be resolved through surgery.

Canal anatomy complications: Unusual canal structures, such as additional or curved roots, may make complete cleaning impossible during the initial root canal treatment.

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.

What do our patients say?

Discover what our patients are saying about their exceptional dental care experiences!

Hands down, one of the BEST dentist. If not, THEN THE BEST. I am usually SCARED of dental procedures. I came in for a root canal and they made me feel SO comfortable, gave me knowledge on how the procedure will go, and were one of the nicest staffs I met in ANY BUSINESS. They are so good at what they do to the point I didn't feel any pain at all from start to finish. THANK YOU APEX, YOU GUYS ARE AMAZING.

Arsh Bhullar

Everyone is so so nice and professional! Dr. Prakash explains everything very well. Her and the dental assistance, Stacy, both kept checking on me throughout my procedure. My appointment was about 1.5 hours for a consultation, x-rays, and a root canal. Would definitely recommend!

Betsy G

Can't recommend enough! Went in for tooth pain/sensitivity where my crown is. Evaluation determined I needed a root canal. So if course I was extremely nervous. But Dr. Prakash and Stacy were fantastic. Gave me plenty of numbing and lots of positive encouragement. Everything was done before I knew it. If you're looking for a great place to go - this is it!

Chrystie Caserza

I 100% love this dental office! I had a great experience. Just the one visit so far but actually hope I have to go back! The entire staff was incredibly kind and outgoing and talkative, which I absolutely relate to! Dr. Prakash was so professional and fun at the same time. 10 stars!!! Whoooo

Erika Montanez

Everyone is so nice here! It’s amazing that getting two root canals at one sitting could be so pleasant! This is my second time using Dr Prakash and if I ever need any more root canals this is where I’d go. her assistant is so nice too! I felt relaxed and the procedure of getting a root canal with smooth sailing.

Denise Valderrama

Dr Prakash and everyone at Apex is great! I took my mom in for a root canal and we were in and out in about 90 minutes. Who isn’t nervous at the dentist office? But Dr Prakash’s calm approach and friendly bedside manner put us at ease right away. I highly recommend her if you are looking for someone qualified, and who can get the job done. 5 stars for sure!

Pallavi Iyer