What Is an Apicoectomy?
Root canal therapy is highly effective at removing infection and saving a tooth, but in rare cases, the infection persists or returns after treatment. When a previously treated tooth continues to show signs of inflammation or infection near the tip of the root, our team at Silberman Endodontics may recommend a minor surgical procedure called an apicoectomy. Also known as endodontic microsurgery, an apicoectomy is performed to remove the root tip and surrounding infected tissue so the area can heal properly. Using advanced tools and techniques, Drs. Jaime Silberman and Lawrence Posner can resolve issues that may not be reachable through the tooth canal itself, such as tiny fractures, persistent infection, or complex concerns that may have been missed during an earlier treatment. Schedule a consultation at Silberman Endodontics in Boynton Beach, FL to learn if an apicoectomy can help you preserve the health and structure of your natural tooth after a root canal.
How Does an Apicoectomy Work?
After a thorough evaluation, including imaging to assess the root and surrounding bone, we will schedule the apicoectomy as an in-office procedure. On the day of your apicoectomy procedure, we will numb the area completely to keep you comfortable. A small incision will be made in the gum near the tooth so we can access the tip of the root and the surrounding bone. Once the root tip is exposed, we will remove the infected or inflamed tissue and trim the very end of the root. A small filling will be placed to seal the canal from the tip, and the area will be thoroughly cleaned before the gum is sutured closed. Over time, the surrounding bone will heal and regenerate. Recovery after an apicoecomy typically takes a few days, during which time you might experience minor soreness or swelling.
What Are the Benefits of Endodontic Microsurgery?
Endodontic microsurgery is typically reserved for situations where traditional root canal retreatment isn't possible or hasn't worked. That might include teeth with complex root anatomy, obstructed canals, or restoration work — like a crown or post — that makes access from the top difficult or risky. Because it's a targeted approach, an apicoectomy helps preserve as much of the healthy tooth structure as possible while eliminating the source of the problem. Some of the benefits of this treatment include:
- Removes persistent infection at the root tip
- Preserves the natural tooth
- Prevents the need for extraction or implants
- Supports long-term healing of bone and surrounding tissue
- Offers a surgical solution when retreatment isn't possible
Silberman Endodontics Reviews
Dr Silberman operates a very efficient office and his assistant was very professional. He carefully explained everything regarding my root canal procedure. Thank you for making this unpleasant experience tolerable!
I honestly cannot say enough good things about my experience with Silberman Endodontics. From my initial consultation to my treatment today, the entire process exceeded every expectation I had.The office is welcoming, professional, and incredibly well-run. Every staff member I interacted with was kind, attentive, and genuinely cared about making me feel comfortable. Going to an endodontist is not exactly something most people look forward to, but they made the experience surprisingly stress-free from start to finish.Dr. Jaime Silberman is outstanding. He took the time to thoroughly explain everything, answered all of my questions, and made me feel completely confident in the treatment plan. His skill, professionalism, and attention to detail were obvious throughout the entire procedure. What could have been a nerve-wracking experience turned into one that was smooth, comfortable, and reassuring.If you need endodontic treatment, I would recommend Silberman Endodontics without hesitation. Five stars isn't enough. Thank you to Dr. Silberman and the entire team for such an outstanding experience.
Amazing place! Very professional, teeth done well, clean space, great staff, and doctor Posner is very sweet and good with his patients.
I went in for an emergency root canal. Dr. Posner was gentle and kind. He understood my fear and stress. He was a life saver and fixed my tooth. By the time I left the office I was pain free! The entire office staff was wonderful! Dr. Posner was a miracle worker!
Is hard nowadays to find a Dr That cares!!Thank You!! And God Bless!!
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Compassionate Endodontic Care for Complex Cases
Persistent symptoms after a root canal don't always mean the tooth has to be removed. An apicoectomy may offer a safe, effective solution for resolving infection and preserving the tooth. To find out whether this approach is right for you, contact Silberman Endodontics in Boynton Beach, FL to schedule a consultation with Drs. Jaime Silberman and Lawrence Posner today.