Apicoectomy

When standard root canal therapy isn't enough to eliminate an infection, you may need an apicoectomy. At Cinco Ranch Endodontics in Katy, Texas, the experienced dental team, led by endodontic specialist Bryan Berteaux, DMD, has the expertise and experience to perform this specialized root-end procedure. Removing the infected root tip and sealing the area ensures your tooth's long-term health. Contact the friendly office staff today to schedule a consultation. Call or book online now.

What is an apicoectomy?

An apicoectomy, also known as root-end surgery, is a dental procedure performed to remove the tip of a tooth's root and any surrounding infected tissue. The team uses this approach when a standard root canal treatment has failed to resolve an infection or if the tooth becomes reinfected. 

At Cinco Ranch Endodontics, your dental surgeon performs an apicoectomy to save the tooth by eliminating the source of infection, which may not be reachable through a traditional root canal.

When is an apicoectomy necessary?

An apicoectomy becomes necessary when a root canal procedure alone can’t fully treat an infection at the tip of a tooth's root. If the infection persists or returns after a root canal, it may indicate infected tissues or tiny branches of the root weren't fully addressed. 

The procedure is usually recommended if you’ve had a root canal but continue to experience symptoms such as pain, swelling, or signs of infection. It may also be necessary if you have complex issues like calcified canals or if retreating your root canal isn’t feasible or likely to succeed.

What can I expect during an apicoectomy?

During an apicoectomy, your oral surgeon numbs the area with local anesthesia to ensure you're comfortable. Next, they make a small incision in your gum to access the tooth’s root.

Using specialized instruments, your surgeon removes the infected tissue along with the root’s tip. Afterward, they seal the end of the root canal to prevent future infections. 

The procedure usually takes 30-90 minutes, depending on your tooth’s location and complexity. Your dentist completes the procedure by suturing the incision.

Last, they give you instructions on how to care for the surgical site, which you need to follow carefully.

What can I expect after an apicoectomy?

After your procedure, you might experience swelling, tenderness, or mild discomfort as the area heals. Over-the-counter pain relievers can help manage pain.

Follow your dentist’s aftercare instructions, which may include taking prescribed antibiotics, applying ice to reduce swelling, and eating soft foods for a few days. 

Full healing can take several months, but most patients can resume normal activities within a day or two. Your dentist will schedule follow-up visits to monitor your healing process and ensure the infection fully resolves.

Call the office today or book an appointment online now if you’re experiencing signs of infection.