Overview of Endodontic Surgery
The goal of a root canal is to fully remove the infection from your tooth, but the tooth roots have multiple tiny branches where bacteria may remain or come back. If your tooth gets re-infected after you have had a root canal done, our team of board-certified endodontic specialists typically recommend an apicoectomy. An effective solution, an apicoectomy takes out any infection in the gum and bone near the tooth's root, plus the affected tip or tips. Also known as a root-end resection or endodontic microsurgery, an apicoectomy may save the upper area of the tooth and avoid disturbing a dental restoration (crown or bridge).
"I highly recommend Western Mass Endo! Dr. Shapiro and team were amazing. My root canal was completely painless and I was in and out in 30 minutes. Dr. Shapiro followed up with me via text later in the day and I was pleasantly surprised by this gesture. 5 stars!!!"- D.K. / Google / Sep 16, 2021
"The West Springfield office got me in within an hour for an emergency root canal. Dr. Shapiro was so professional and gentle, the whole procedure was absolutely painless. He followed up with me later in the day to make sure everything was feeling okay. I’m so thankful for them!"- R.W. / Google / Sep 14, 2021
"Excellent in all respects. My 2nd visit to this practice and I highly recommend it!"- K. / Google / Sep 11, 2021
"Everyone was kind and considerate. Explained what was going to happen and answered all my fears. Painless and very little discomfort."- J.B. / Google / Sep 01, 2021
"Appointment was on time. Dr. Took the time to explain everything to me and answer all my questions. He did a great job explaining what to expect too. Staff was friendly and helpful."- C.M. / Google / Aug 24, 2021
The Apicoectomy Process
To begin the treatment, local anesthesia will be applied to needed areas. Sedation methods can be added based on the complexity of your treatment or for dental anxiety and fears. We will start by creating an incision through the gum tissue to reveal the tooth's root. Any infected tips and surrounding tissue will be addressed before the area is thoroughly cleaned. To make sure the infection is completely removed, a dental dye will highlight tooth cracks. As soon as your tooth is sealed, we can close the gums using sutures.
Recovering From an Apicoectomy
After an apicoectomy, a member of our team may write a prescription for antibiotics or pain medication. You can use cold compresses or ice packs to reduce inflammation for the first day following your procedure. You might experience some numbness, soreness, or bruising for 3 – 5 days. One of our endodontic specialists will talk to you about further instructions for your recovery period.