If you’ve had a root canal, but the tooth is still causing pain, swelling, or signs of infection, an apicoectomy may be the best option to save it. This minor surgical procedure removes infection at the root tip when conventional retreatment is not enough. By precisely targeting the affected area, an apicoectomy eliminates bacteria, preserves your natural tooth, and prevents further complications.
At Burien Endodontics, we specialize in minimally invasive apicoectomies, using advanced CBCT imaging and microsurgical techniques to ensure precise treatment and a smooth recovery. Our goal is to provide comfortable, effective care so you can keep your natural tooth for years to come. If you’re experiencing persistent discomfort in a previously treated tooth, we’re here to help.
An apicoectomy, also known as root-end surgery, is a minor surgical procedure performed when a previous root canal treatment has not fully healed or infection persists at the tip of the tooth’s root. While traditional root canal therapy effectively removes infection inside the tooth, some cases require surgical intervention to completely eliminate bacteria and preserve the natural tooth.
At Burien Endodontics, we specialize in minimally invasive apicoectomy procedures, using advanced imaging, precision techniques, and modern technology to ensure a smooth and comfortable experience. Our goal is to remove the source of infection while keeping your tooth intact for long-term health and function.
An apicoectomy is often recommended when a previous root canal has not fully healed or complications arise that cannot be addressed with conventional retreatment. If left untreated, these issues can lead to persistent pain, infection, or further damage, ultimately putting the tooth at risk of extraction. Here are some common reasons why an apicoectomy may be necessary:
While root canal therapy is highly successful, in some cases, bacteria may remain at the very tip of the tooth’s root, leading to persistent infection. This can cause swelling, tenderness, and even the formation of an abscess. If a root canal alone cannot fully eliminate the infection, an apicoectomy is needed to remove the infected root tip and surrounding tissue, preventing further spread.
Sometimes, an untreated or persistent infection at the root tip can result in the formation of a cyst or a chronic abscess, which may continue growing and damaging the surrounding bone. These cysts do not always respond to traditional root canal retreatment, requiring surgical removal to fully resolve the infection and allow the bone to heal.
Teeth can have complex root structures, including small, hidden canals that may go undetected during an initial root canal. If bacteria remain trapped in these areas, they can continue to cause infection. Additionally, tiny fractures in the root may develop, allowing bacteria to enter and compromise the tooth’s stability. An apicoectomy allows the endodontist to access and clean these hard-to-reach areas, improving the chances of long-term success.
In some cases, a tooth may have already undergone retreatment but continues to show signs of infection or discomfort. If retreatment has been unsuccessful, or if the tooth’s anatomy makes another non-surgical procedure ineffective, an apicoectomy may be the best alternative. This procedure allows the infected root tip to be directly removed, eliminating the problem at its source.
Chronic infection at the root tip can lead to bone loss, weakening the foundation that supports the tooth. If the surrounding bone is deteriorating, the tooth may become loose or unstable over time. By performing an apicoectomy and removing the source of infection, we can help stimulate bone regeneration and restore the integrity of the affected area.
If left untreated, an infection at the tip of a tooth’s root can lead to pain, swelling, and even bone damage, putting the tooth at risk of extraction. An apicoectomy can save the tooth and prevent further complications.
At Burien Endodontics, we take a minimally invasive approach to ensure a smooth recovery. Here’s what you can expect during your procedure:
Before performing an apicoectomy, we use CBCT 3D imaging to get a detailed view of the affected root and surrounding bone. This helps us precisely plan the surgery and target only the infected area.
The procedure is performed under local anesthesia, ensuring you remain comfortable and pain-free throughout the treatment.
A small incision is made near the gumline to access the root tip. The infected or inflamed tissue is removed, along with a small portion of the root end, to eliminate bacteria and prevent reinfection.
Once the root tip is removed, the end of the root canal is sealed with a biocompatible material to prevent bacteria from re-entering. This ensures long-term stability and healing.
The gum tissue is repositioned and sutured, and the area is given time to heal. The bone around the root will naturally regenerate over time, restoring strength and function to the tooth.
Most patients experience minimal discomfort after an apicoectomy, and recovery is typically faster than expected. You may notice mild swelling or tenderness, which can be managed with over-the-counter pain relievers and ice packs.
If you experience persistent pain, swelling, or infection after a root canal, an apicoectomy may be the best solution to save your tooth and prevent further complications.
At Burien Endodontics, we combine advanced technology and surgical expertise to provide precise, minimally invasive apicoectomies with a focus on patient comfort and long-term success. Our use of CBCT imaging, digital records, and microsurgical techniques allows us to accurately diagnose and treat infections at the root tip, ensuring the best possible outcome. By utilizing state-of-the-art imaging and precision-based techniques, we minimize trauma to surrounding tissues, promoting faster healing and reduced discomfort during recovery.
Our patient-first approach means you’ll receive compassionate care in a modern, comfortable environment where your concerns are heard and addressed. We are committed to preserving your natural tooth whenever possible, using the latest advancements in endodontic surgery to give you the highest chance of a successful outcome. If you’ve been advised to undergo an apicoectomy, trust our experienced team to deliver specialized, expert care tailored to your needs.
If you have been told you need an apicoectomy or are experiencing ongoing symptoms after a root canal, Burien Endodontics is here to help. Our team specializes in advanced endodontic treatments to save your natural teeth and restore your oral health.
Call us at (206) 402-5147 or schedule an appointment through our contact form to discuss your treatment options today.
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