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
Dr. Shapiro is a magician. He is kind, caring, and shows genuine concern for your comfort and well-being. He is a phenomenal endodontist that is highly skilled at his craft. This practice is accommodating and seems to truly care about its patients, and I cannot say enough good things about it.
Today’s procedure ( osseous surgery ) was no different than my other dental procedures at Western Ma. Perio. I was nervous & Dr. Salzmann provided the reassurance!He is genuinely compassionate , caring & professional. Dr. Salzmann & his entire team provide exceptional skilled services…talking you through each step of the procedure. If there is an award for exceptional performance, it should be presented to Dr. Salzmann ! Thank you .
I recently had a procedure done at Western Mass Endodontics with Dr. Shapiro, and I felt it was worth taking a moment to share my experience.Like many people, I went in with some hesitation given the nature of the procedure. However, Dr. Shapiro handled everything with a level of care and professionalism that immediately put me at ease. What stood out most was how seamless and virtually painless the process was, particularly the injections, which are usually the part most people dread.He took the time on the front end to answer questions thoroughly, and just as importantly, made sure everything was addressed afterward as well. That kind of attention to detail and follow-through is not something you see every day. The same goes for the follow-up later that day, which really speaks to the level of commitment to patient care.The office staff was equally professional and supportive throughout the entire visit, which made a noticeable difference in the overall experience.I don’t tend to be easily impressed, but this was one of those situations where it felt warranted. If you find yourself needing this type of care, you’re in very good hands here.Thank you! John
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.
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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.