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 had an emergency root canal, which I was extremely nervous about. I called the office at 10am, and was in the chair by 12. Dr. Shapiro and his assistant walked me through everything. The procedure was absolutely painless (besides the initial pinch from the anesthetic). I’ve had zero tooth pain since the procedure, and the tooth was killing me for two days prior. The whole process was quick, efficient, comfortable and painless. Dr. Shapiro even reached out later in the evening to see if I was okay."- C.R. / Google / Jun 19, 2021
"Everyone was welcoming and knowledgeable. Dr. Shapiro was amazing and made me feel at ease. He was very helpful and if it wasn’t for his selflessness I probably would not have been able to have my root canal done. I thank him dearly along with his team. Thanks again for your services."- R.R. / Google / Jun 18, 2021
"Dr Shapiro and his staff did a tremendous job!! You hear all the horror stories about having a root canal, not with Dr Shapiro. The procedure was quick and NO pain!"- J.D. / Google / Jun 16, 2021
"Friendly and efficient office."- S.F. / Google / Jun 16, 2021
"I can’t say I was happy to be here because of how much pain I was in, but the doctor and the girls made it so much easier for me. A root canal is no walk in the park, by far the most painful and expensive thing I’ve been through. But if I had to do it again I wouldn’t go anywhere else. The sweetest people I’ve ever met!"- L.Z. / Google / Jun 16, 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.