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Apicoectomy (Endodontic Surgery) in San Jose, CA

Endodontic & Implantology Associates provides apicoectomy, also called endodontic surgery, root-end surgery, root-tip surgery, retrograde filling, or root-end resection) in Silicon Valley. To learn more or schedule an appointment, call 408-224-8266 or send us a message.

What is an Apicoectomy?

An apicoectomy is an endodontic surgery. It is the most common type of endodontic surgery, and it is performed to save damaged teeth that a root canal did not successfully treat. Known interchangeably as root-end surgery, root-tip surgery, retrograde filling, or root-end resection, an apicoectomy is a minimally invasive surgery.

An apicoectomy may be used in a diagnostic capacity, or to treat inflammation or infection at the very tip of the tooth root located in the bony area, or both. As a diagnostic procedure, endodontists expose the tooth root to locate any tiny fractures, or tiny canals of the root that cannot be seen on an x-rays. The source of your pain is often discovered and treated in the same procedure.

During root-end surgery, a small incision will be made in the gum to allow the endodontist to access the tip of the root. Depending on the source of the pain, the dentist may perform one of several treatments.

Canals that were too small to be treated during a root canal can be cleaned, disinfected, and sealed. Canals that could not be seen during a root canal may be cleaned and reshaped. Any debris or infection in the tissue surrounding the tooth root will also be removed and treated.  In many cases, a tiny filling will be placed at the tip of the root to seal the root, preventing future infection.

What are the Benefits of an Apicoectomy?

Endodontic surgery offers patients several benefits:

  • Saves natural tooth (tooth preservation)
  • Removal of dead or infected tissues
  • Preventing infection from spreading
  • Reducing the likelihood of recurring infections
  • Eliminating pain
  • Fast recovery from minimally invasive surgery

Why Choose Endodontic & Implantology Associates?

Endodontic & Implantology Associates are highly experienced and highly specialized endodontists. We employ the least invasive techniques in endodontic surgery, to support a swift recovery and immediate relief from pain caused by inflammation and infection.

Our compassionate endodontists will ensure your comfort and care for the duration of your treatment, including your post-surgical follow-up appointments. We remain available to you during your recovery and beyond. As a premium provider of endodontic treatments and root-end resection surgeries, our team is dedicated to successful surgical outcomes for all patients.

Are You a Good Candidate for an Apicoectomy?

Patients best suited for an apicoectomy at Endodontics & Implantology Associates in San Jose are those who have undergone a root canal but have not gotten relief from pain. In these cases, an apicoectomy can be performed to both diagnose the source of the pain and treat the pain.  An apicoectomy is a minimally invasive surgery that provides an effective alternative to tooth extraction. Patients in good overall health are typically good candidates for an apicoectomy.

Frequently Asked Questions About Endodontic Surgery

How long does endodontic surgery take?
An apicoectomy is typically completed within 90 minutes and may be completed even faster. This minimally invasive surgery is considered a low-risk, and therefore very safe procedure when performed by experienced endodontists.
Will the apicoectomy hurt?
Your surgery will be painless. The entire area of the mouth to be treated will be completely numb before your procedure begins. If you suffer from dental anxiety or phobias, talk with our endodontists about the sedation options available. It is common to experience swelling, tenderness, or mild discomfort immediately following your surgery, which should subside within a week.
Are apicoectomies successful?
For the overwhelming majority of patients, an apicoectomy will prove successful. Success rates of this minimally invasive endodontic surgery are greater than 91%, according to studies by the National Institutes of Health.
Do you offer sedation for endodontic surgery?
We do offer sedation options including nitrous oxide (laughing gas) and conscious sedation. If you’re fearful or anxious about endodontic surgery, talk with your endodontist about whether sedation is right for you.
How long is recovery from root-end resection?
Most patients experience minimal discomfort after a root-end resection. It is normal to experience a bit of tenderness and swelling at the site of the incision. However, you will likely be able to return to work, or other normal activities, excluding intensive exercise, the following day. It can take several weeks for sutures to dissolve, and complete tissue healing, but most discomfort you’re experiencing should subside within several days.

Contact our office today to schedule your appointment!

6080 Hellyer Ave. Suite 150
San Jose, CA 95138
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