Our Experienced Endodontist Provides the Apicoectomy Prodecure
In place of or in addition to a root canal treatment, our endodontist may recommend an apicoectomy if your dental infection has reached the tip of your tooth’s roots.
In most cases, once your tooth has undergone root canal therapy, it will last for the rest of your life and will not require further endodontic treatment. In certain situations, however, the tooth may not heal properly or may develop a new infection. When this occurs, we may recommend an endodontic treatment known as an apicoectomy, or endodontic surgery. An apicoectomy involves removing the apex of the tooth, or the very tip of the tooth root. The tooth root is the part of the tooth that extends into your jawbone to hold the tooth in place. Each tooth has at least one root, and some have multiple. If the end of the tooth root becomes inflamed or infected, our dentist may recommend an apicoectomy procedure.
An apicoectomy involves making a small incision in your gum tissues near the tooth in order to see the underlying bone. We can then remove the infected tissues, as well as the very end of the root tip. We place a small filling to seal the end of the root canal, and a few stitches may be needed to help your gum tissues heal. Over the next few months, your bone will heal around the end of the tooth root.
If you have a tooth that has undergone root canal therapy in the past but is causing pain once again, you may need an apicoectomy. Please call or visit one of our offices in Beavercreek or West Chester to learn more and to schedule your appointment. We are dedicated to improving your dental health and relieving your pain.
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Apicoectomy FAQs
An apicoectomy is a surgical procedure performed when a root canal treatment has failed or cannot be completed due to a complex infection or other factors. During an apicoectomy, the endodontist removes the infected or damaged portion of the tooth's root tip.
An apicoectomy involves a small incision in the gum, removal of the infected root tip, filling the root canal, and placing a crown or filling to restore the tooth's function. Dr. Goel and team will make sure you are comfortable throughout the procedure.
Your Empire endodontist will use local anesthesia to numb the area around the tooth, making the procedure comfortable. You may experience some discomfort or swelling after the procedure, but this should subside within a few days.
The length of an apicoectomy can vary depending on the complexity of the case. However, most procedures can be completed in one visit.
Yes, an apicoectomy can often save a tooth that would otherwise have to be extracted.
While an apicoectomy is generally safe, there are potential risks like infection, bleeding, nerve damage, or procedure failure. However, the success rate is high, making it an effective option for saving teeth.
Recovery time after an apicoectomy is typically short. You may need to avoid certain foods or activities for a few days while your mouth heals. Your Empire endodontist will provide specific post-operative instructions.
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Empire Dental Group Provides Care for Advanced Dental Procedures
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Our office works with a number of dentists in the area to provide Apicoectomies as a referral service. If you are dentist or a patient looking to schedule a procedure, fill out the form below to get started.

