What Is an Apicoectomy and Why You Might Need One

At Ace Endodontics, our team of experienced endodontists specializes in a range of dental procedures, including apicoectomy, also known as root-end resection. This is a highly specialized dental procedure that focuses on the inner part of the tooth, which is our area of expertise. The need for an apicoectomy arises when an infection persists in the bony area near the end of your tooth after a root canal procedure. In such cases, if the infection or inflammation has spread to the jawbone or surrounding tissues, our team will evaluate the extent and severity of the issue and may decide to perform an apicoectomy.

At Ace Endodontics, we ensure a high standard of care during an apicoectomy. After the removal of the root tip and infected tissue, we place a small filling to seal the end of the root canal. A few stitches or sutures are then used to help the tissue heal properly after the procedure. While an apicoectomy may not be the first choice of treatment for dental issues, it is a procedure that our endodontists at Ace Endodontics are trained to perform with precision and care.

We have a high success rate with this routine surgery, often offering the best chance to save a tooth when root canal treatment has been unsuccessful. Despite its specific nature, it is always essential to consult with our professional team to understand the need, benefits, and potential risks before opting for an apicoectomy.

At Ace Endodontics, we specialize in endodontic microsurgery or root-end resection, commonly known as an apicoectomy. This surgical dental procedure involves removing the infected root tip and surrounding tissue of an abscessed tooth. When root canal treatment is unsuccessful, an apicoectomy is typically considered as the last resort to save the tooth. The duration of this procedure varies depending on factors such as the complexity of the root structure and the tooth’s location. On average, an apicoectomy can take anywhere between 30 to 90 minutes.

For front teeth, the process is relatively straightforward and can be completed within 30 to 45 minutes. However, for molars and premolars, which have a complex root structure and are located in difficult-to-reach areas, the procedure might take longer, usually between 45 to 90 minutes.

We ensure a comprehensive approach to patient care. Before the surgery, patients undergo a consultation and imaging scans. After the procedure, a recovery period is required, which can last from several days to a few weeks, depending on the individual patient’s healing capacity. Our goal is to remove all infected tissue thoroughly and precisely, ensuring a good seal at the root tip to prevent future infection. Therefore, we ensure that enough time is allocated for the procedure and follow-up care to ensure successful treatment and healing for our patients.

Before the apicoectomy, our endodontists conduct a thorough consultation, discussing the patient’s medical history and addressing any questions to ensure they feel fully informed and comfortable about the procedure.

During the procedure, our skilled endodontists use the latest anesthesia techniques to ensure a pain-free experience. A small incision is made in the gum to access and remove the infected root tip and surrounding tissue. If necessary, a root canal may be performed, and the root canal end is sealed with a filling to prevent future infections. In cases involving significant bone loss, a bone graft may be performed to promote healing and regeneration. The procedure concludes with the incision being carefully sutured for proper recovery.

Post-procedure care is critical for a smooth recovery, and we provide comprehensive instructions tailored to each patient. While some swelling and discomfort are normal, we prescribe appropriate pain management and antibiotics to prevent infection. Follow-up appointments are scheduled to monitor healing, and sutures are typically removed within one to two weeks.

For persistent or complex problems, an apicoectomy, or root-end resection, can provide a solution. This surgical procedure targets infections in the roots of teeth, often caused by untreated cavities, cracks, fractures, or failed root canals. By removing the diseased root tip and surrounding tissue, we aim to preserve the tooth and restore oral health.

An apicoectomy is highly effective in treating conditions such as persistent endodontic infections, including periapical cysts and abscesses, which can cause severe pain, swelling, and bone loss if left untreated. It is also used to address damaged tooth roots due to trauma, deep decay, or fractures, and to manage complex root anatomy that is challenging for standard root canal treatments. Additionally, conditions like internal resorption, vertical root fractures, and retrograde perforations are treatable with this procedure, helping to protect and stabilize the affected tooth.

At Ace Endodontics, our goal is to alleviate pain, prevent further complications, and preserve natural teeth whenever possible. Before recommending an apicoectomy, we conduct a comprehensive consultation to discuss the procedure, its benefits, and potential risks, ensuring our patients are fully informed and comfortable with their treatment plan. If you are experiencing persistent dental issues or have been advised to consider an apicoectomy, contact us today to schedule your appointment online and take the first step toward restoring your oral health. We are conveniently located at 11980 San Vicente Blvd Ste 900, Los Angeles, CA 90049. We serve patients from Brentwood Park CA, Santa Monica CA, West Los Angeles CA, Beverly Hills CA, West Hollywood CA, Venice CA, Culver City CA and surrounding areas.