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
Wonderful dentist and staff. My root canal was complicated but Dr Silberman did it perfectly without pain
Appointment was on time. Friendly staff. Procedure was painless.
Always excellent
This isn't my first time seeing Dr. Silverman. His information, treatment, patience, work, and punctuality are excellent. The staff is great. I highly recommend him.
Last month I had a first time root canal with Dr Silberman that took me 3 visits. I never had any pain before, during and still now. So far, I can say he has done an amazing job.. Dr Silberman is very gentle and kind. I highly recommend Dr Silberman and his staff.
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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.