Endodontic or Apical Surgery

Endo surgery microscope

What is an apicoectomy?

An apicoectomy is a minor, painless procedure that helps save your natural tooth. It is a routine surgery wherein your endodontist removes the very tip of your tooth’s root along with any infected, inflamed tissue. If you need an apicoectomy, don’t worry too much. It is a minor surgery, and we’re here to make sure you have a comfortable experience.

If we told you that you need an apicoectomy, it’s because root canal treatment was or is simply insufficient to protect your tooth from further infection. This means that an apicoectomy is your last shot at saving your natural tooth.

In the event that a cause of your symptoms cannot be discovered, surgery may be suggested so that your endodontist can clearly see the structure of the root of your tooth to gain a better understanding of the problem. Teeth are surprisingly complex, and the root canals themselves are equally complex. Each tooth’s root canals can have tiny nooks and crannies that can make cleaning them out really difficult. If your root canals are particularly complex, an apicoectomy might be your best option to prevent further infection. 

What to Expect During Your Procedure

In short: a quick, painless procedure.

An apicoectomy is a quick, painless surgery, and it typically takes between 30-90 minutes. Your endodontist will make an incision in your gum tissue to expose the bone and infected tissue. Your endodontist will then remove the infected tissue and the root tip. After this, he or she will place a filling to seal the root so that you do not develop a secondary infection and suture your gum tissue into place again. 

Your Trusted Partner in Endodontic Care

If you’re concerned about why you need an apicoectomy, talk to your endodontist. We want you to have confidence in your care, and we will give you all of the information you need to make an informed decision about your care.

Questions About Apicoectomy

Can I wait to get an apicoectomy?

We promise you that you don’t want to wait. Just like how you didn’t want to wait when you needed a root canal, we don’t suggest putting this off. You’re likely in pain, and why would you walk around in pain if you don’t have to?

Does an apicoectomy hurt?

We get this question often, and we can understand why – but no, and you really shouldn’t worry. You’ll be numb throughout the whole procedure. We know that it’s intimidating, but we’re with you every step of the way. At Endodontic Associates, we trained for years to specialize in these procedures, and we are committed to your comfort and health. Each one of us will serve as your advocate, and that means that we won’t do anything until you’re numb, comfortable with the procedure, and ready to save your tooth.

Do I really need an apicoectomy?

If your endodontist tells you that you need an apicoectomy, then yes, you really need one. Putting off treating an oral infection can have disastrous consequences; you can end up losing your tooth, the infection can spread to other oral tissues, and you can set yourself up for more complex and costly restorative procedures. We are your partners on this journey, and we will walk with you through the entire process. Whether you’ve had your first root canal treatment here or it’s your first time, we will work with you to make sure that you have the most comfortable experience possible.

Do I have other options?

Definitely! The fact is that there is no guarantee that this will save your natural tooth. We believe it will, and that’s why we suggest it. However, this is not your last stop. Instead, your final option is an extraction. We will discuss your outlook for this surgery and give you all of the information you need to make the most informed decision about your care.

What should I expect after surgery?

You may feel some pain or discomfort at the surgery site while your incision heals. However, you will be able to get back to your routine the day after your surgery. Your endodontist will prescribe or recommend pain medication. Your endodontist will give you more detailed post-operative instructions. You may experience swelling at the surgery site, and you should ice the area for at least 12 hours. Whatever you do, rest. You’re recovering from surgery. You deserve it, and your body needs it. If you are still in pain or have any concerns about your recovery, call our office immediately.

Looking for a practice in the

Dallas, Richardson, Farmers Branch, Garland, Mesquite, or Addison
area
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location
North Dallas Endodontics
12655 N. Central Expy. #1014
Dallas,
TX
75243
214-342-0425
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HOURS
Monday
7:45 am-5:00 pm
Tuesday
7:45 am-5:00 pm
Wednesday
7:45 am-5:00 pm
Thursday
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Friday
7:45 am-12:30 pm
Saturday
Closed
Sunday
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