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When a tooth has undergone a root canal but still has persistent infection or inflammation, an apicoectomy may be the best solution to save the tooth. This minor surgical procedure, performed by our experienced endodontists, removes the source of infection at the root tip and allows the surrounding bone to heal naturally.
What Is an Apicoectomy?
An apicoectomy, also known as endodontic surgery, is a treatment used when a standard root canal is not enough to resolve an infection. During the procedure, the endodontist:
- Makes a small incision in the gum near the affected tooth.
- Removes any infected tissue along with the very tip of the tooth’s root (called the apex).
- Cleans and seals the end of the root canal to prevent reinfection.
- Closes the gum tissue so the area can heal.
This approach directly targets infection that cannot be reached through nonsurgical root canal treatment, preserving your natural tooth and preventing the need for extraction.
When Is an Apicoectomy Recommended?
An apicoectomy may be suggested if:
- A tooth continues to show signs of infection after a root canal.
- There are tiny fractures, hidden canals, or blockages that make retreatment impossible.
- Persistent cysts or inflammation remain around the root tip.
- Other treatments, like retreatment, have not resolved the issue.
What to Expect During Recovery
Apicoectomies are performed using local anesthesia to ensure comfort. Mild swelling or discomfort after the procedure is normal and can be managed with over-the-counter medication. Most patients return to normal activities within a day or two, and the treated area typically heals over the following weeks.
Why Choose Virginia Family Dentistry?
Our board-certified endodontists use state-of-the-art imaging, advanced surgical tools, and microscopes to ensure precise, effective treatment. We work closely with your general dentist to create a comprehensive plan that keeps your tooth healthy and functional for years to come.
Schedule a Consultation
If you’ve been told a root canal hasn’t fully resolved your infection—or that your tooth may need to be extracted—an apicoectomy could provide another chance to save it. Contact Virginia Family Dentistry to schedule a consultation with one of our endodontic specialists and learn whether this treatment is right for you.