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).
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.
Western Mass Endo Reviews
Very talented surgeons and dentists; not friendly to people who have severe medical phobias.
Fastest most efficient route canal I have ever seen. The staff was great , the Dr is top notch. I highly recommend this place.
I cannot say enough good things about my experience today at Western MA Endodontics. I called in severe pain and they got me in right away, which I am so grateful for.From the moment I walked in, every single person I interacted with was incredible, the receptionist, the tech, the staff who helped get me in, and especially the doctor. As someone with anxiety, dental visits can be really overwhelming, but the doctor truly made me feel at ease. He repeatedly asked if I had any questions and genuinely meant it, took the time to explain everything clearly, and was incredibly kind, patient, and calming throughout the entire procedure.The root canal itself was fast and painless, which honestly shocked me in the best way. On top of that, they even followed up with a text afterward to check on me. You just don’t see that level of care and customer service very often anymore.If you’re nervous about dental work or just want to be treated with real compassion and professionalism, I highly recommend Western MA Endodontics. They truly went above and beyond.
Had a root canal done January 30 2026 went so well thank you Eric Shapiro and your team for the great experience this is my second root canal and let me tell you the first experience I had at another dentist went horrible I felt the whole procedure with Eric and his team I was shocked I ain’t feel a thing thank you’ll so much I will recommend everyone here
Beyond grateful how quickly Dr. Shapiro and his staff got me in around the holidays and made the process so easy. Highly recommend
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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.