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 would recommend WMEndo over and over! It was a clean, professional, and top notch experience. I needed care and was able to get in at one of the offices a little further away but it was the next day which was great. The front desk staff was courteous, had papers for me to fill out with one on COVID, and they have air purifiers that kill viruses. They took me in for a consult, did the procedure, and I was on my way within 30-40 minutes. I was very numb and the doctor was kind, strong, and made sure that I was doing okay and checked in the whole time. The nurse was also really sweet in letting me know exactly what was going on. I got x-rays and they decided I was a good candidate for a root canal so once I was numbed up they put in a dental dam that goes around the tooth and snaps in to protect your face and mouth from excess debris. It was quite a wonderful protective barrier and made things quick and easy. Professional, sterile, prepared, quality equipment and up to date tools and methodology while being warm and safe and comfortable. Made me feel like I was in good hands! The infection was deep. I was already on antibiotics so he did not want to overprescribe them which is wise, I definitely trust their judgment. They asked me if I had any questions. Eric even texted me later to make sure the tooth was doing okay and it was much better. They were clear about me feeling free to call with any questions or needs afterwards. One year later I get a free check up to make sure it’s healing well. I made a follow up appointment with my dentist for the finished crown, it’s just a temp plug, but it took away all the pain I had in my tooth before. When I got home I told my mom I would have a root canal in all my teeth there (haha, hopefully not necessary though) but really, it was the best experience it could’ve possibly been with the help of Western Mass Endodontics! Saved a little money paying with a debit card. I would absolutely recommend this practice, at any of the offices, but Dr Eric Shapiro is the best and did a superior number! Anyone needing this service absolutely needs to go here to be taken care of, I highly recommend it!"- J.P. / Google / Oct 08, 2021
"I had a difficult tooth canal, both because it was calcified and did not go straight up the tooth, but rather veered off to the side before reaching the top. This caused my dentist to stop the procedure halfway through and refer me to an endodontist. Dr. Scott completed the root canal with ease and he also had a great disposition and bedside manner. The assistant (Millie) was a delight and kept me chatting during the interim wait periods to keep me at ease. I'm very pleased and will absolutely return to Western Mass Endodontics in the future should the need arise."- M.N. / Google / Sep 29, 2021
"Dr. Shapiro was very friendly and thorough, explained everything in detail. Consistently checking in to ensure there was no pain or discomfort. Staff was extremely friendly."- B.B. / Google / Sep 20, 2021
"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
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.