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Endodontic Microsurgery

Endodontic microsurgery, more formally referred to as apicoectomy (also known as root end surgery), is performed to restore function and save a tooth after inflammation or infection persists or develops after a root canal. Unlike a root canal, an apicoectomy is a surgical approach through the gums rather than the crown of the tooth.

In most cases, an apicoectomy is suggested only after Dr Patel  determine through digital X-rays and a CBCT scan that your tooth can be saved. Most apicoectomies can be performed in 30 to 90 minutes, depending on the location of the tooth and the complexity of your root structure.

Endodontic surgery can be used to locate fractures or hidden canals that do not appear on x-rays but still causing problems manifesting  pain in the tooth.

Damaged root surfaces or the surrounding bone may also be treated with this procedure. The most common surgery used to save damaged teeth is an apicoectomy or root-end resection. We provide modern a procedure, that even  a very complex case can be treated.

The video above illustrates this  procedure. An incision is made in the gum tissue to expose the bone and surrounding inflamed tissue. The damaged tissue is removed along with the end of the root tip. A root-end filling is placed to prevent reinfection of the root and the gum is sutured. The bone naturally heals around the root over a period of months restoring full function.

The advance technique that we perform with the latest technology, materials and the best microscopes is called Endodontic Microsurgery . 


Following the procedure, there may be some discomfort or slight swelling while the incision heals. This is normal for any surgical procedure. To alleviate any discomfort, an appropriate pain medication will be recommended. If you have pain that does not respond to medication, please call our office.

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