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 was very thorough with exam. A true professional. I recommend his services. The staff is wonderful!!
I thought Dr. Silberman was outstanding as a doctor his staff, the cleanliness and the response as a patient. I feel very comfortable with him. I would highly recommend him to anyone that needs any kind of root canal done or dental work done.
Wonderful staff
Mi experiencia fue muy buena , me gustó la atención , la asistente Claudia me ayudó mucho y fue muy amable , me explicaron todo bien y quedé muy satisfecha con el trabajo . Les recomiendo mucho al Dr es muy bueno y muy atento .
Very caring. Great listener. Very thorough and explained everything to my understanding. About as pain-free as a procedure can get. State of the art equipment and a lovely office.
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Apicoectomy FAQ
Is an apicoectomy painful during the procedure?
Apicoectomy surgery is typically performed using local anesthesia to numb the treatment area and minimize discomfort. You may feel some pressure or movement during the procedure, but significant pain is not expected.
Are dental X-rays necessary before an apicoectomy?
Dental imaging helps your endodontist examine the tooth roots, surrounding bone, and location of an infection before apical surgery. At Silberman Endodontics, our team may use 3D dental imaging when additional detail is needed to plan treatment.
Can I eat before my apicoectomy appointment?
Eating before apicoectomy surgery is generally acceptable when only local anesthesia is planned, although specific instructions may vary. If sedation is involved, you may need to avoid food and drinks for a designated period before your appointment.
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.