Diagram of tooth and root canal

Apicoectomy

In some cases, root canal therapy may fail to resolve a dental infection.

Apicoectomy is a conservative retreatment that removes the tip of the root canal along with the infected tissue.

Why will this help if root canal treatment didn’t?

Diagram of tooth and root canal

Apicoectomy Precisely Targets Small Areas of Infection

Conservative Treatment

Unlike surgeries which completely remove one or more roots, apicoectomy only removes a portion of the root tip. Preserving the most dental tissue possible is always preferable.

More Accurate Treatment

Root canals are notoriously complex systems. During the initial treatment, it can be difficult to remove infected tissue from tiny branches of the root tip (apex). Directly accessing the area can be more effective.

Maintains Restorations

Repeating root canal treatment can weaken a dental filling or dental crown. Apicoectomy leaves restorations completely undisturbed.

How does it differ from a root canal?
Apicoectomy illustration Apicoectomy illustration
But is it really effective

A Reliable Alternative to Re-Treatment

*According to the Journal of Endodontics 

I'm worried about whether I can afford another procedure...

Is Treatment Expensive?

Apicoectomy typically costs between $900-$1,300 without insurance and $100-$500 out-of-pocket under a typical dental plan. Your dentist might determine that the only alternative is extraction, which can cost $75 to $200. After extraction, you will need to replace the missing tooth. A single dental implant ranges from $1,600-$2,200, not including the dental crown. Traditional bridges cost between $500-$1,200 per artificial tooth, but this solution will require alteration of healthy teeth and cannot stop the bone atrophy that follows tooth loss.

Show me exactly what to expect...
Break it down further: how is apicoectomy performed?

What to Expect During the Procedure

ShapeCreated with Sketch.

Your endodontist will first numb the treatment area. You might also receive medication to help you relax.

incision-3Created with Sketch.

The doctor will then make a small incision in the gums near the tooth.

Infected tissue will be removed, including the very end of the root.

root-filledCreated with Sketch.

The doctor will place a small dental filling at the end of the root. This seals the canal and prevents reinfection.

gum suturesCreated with Sketch.

To complete the procedure, the dentist will use a small number of sutures to close the gum tissue.

Do I really need surgery?

Your Doctor Might Recommend Another Root Canal Treatment

Some patients may need a second root canal treatment instead. In other cases, extracting the tooth is the best option. Other types of endodontic surgery, such as root amputation, could also be recommended.

Protect Your Smile

If root canal therapy has failed to restore your oral health, apicoectomy might be a viable alternative to extraction. Contact a doctor today to learn more about the best way to protect your smile.

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Dental Works

Drs. Terry Lee Work and Mary Ann Work are highly qualified to care for your family's smiles: 

  • Affiliated with ICOI and the American Dental Association
  • Sedation dentistry for special needs dentistry and improved comfort
  • Affordable treatment with CareCredit® financing
  • Comprehensive dental care for patients of all ages 

To schedule your consultation, contact us online or call us at (480) 391-0099.

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