Root canal therapy is a nonsurgical endodontic procedure performed to treat and save a tooth infected internally. In some instances, however, an endodontically treated tooth may have several accessory canals (small branches) in which bacteria hide and cause damage, leading to recurring or a new infection. When a tooth remains or becomes severely infected following a root canal procedure, the ideal course of care may be an apicoectomy. As an endodontic microsurgery procedure, an apicoectomy brings a lasting result to a tooth by removing the affected portion of the root tip (apex). PDADental's board-certified endodontist uses precision skill and technique to section the root and any surrounding infected bone tissue while keeping the remainder of the tooth and its visible restoration intact. By performing an apicoectomy, we can often save the tooth from extraction and restore health and proper function to your smile. For more on your endodontic treatment options, reach out to PDADental in the Financial District of Lower Manhattan, NY today.
"Would highly recommend Dr. Ritholtz and his staff! They are all amazing and very supportive"- J.C. / Google / Apr 16, 2021
"Dr. Jalal Fatehi is an incredibly professional and highly skilled dental surgeon. I couldn't ask for a better experience. His assistant Mary was extremely helpful. I had three wisdom teeth extracted at the same time. Two extractions needed stitches. It only took about 30 minutes for Dr. Fatehi to remove all three wisdom teeth. I have a small mouth, and I can't open it very wide, but Dr. Fatehi was able to treat me comfortably. Today my mouth feels so much better. I highly recommend Dr. Fatehi. Thank you and God bless."- L.X. / Google / Apr 15, 2021
"Dr. Ritzholtz has been my dentist for over a decade. I’ve been very happy with my experience over the years. Staff are professional, cleanings are comfortable, and its actually a pleasure to go to the dentist for checkups. Recently I also completed Invisalign. Also a great experience. So much so I wish I had done it years earlier. I now have perfectly straight teeth and the treatment took less than 6 months start to finish. Would highly recommend his practice."- E.C. / Google / Apr 08, 2021
"Great experience with Invisalign (and all other teeth needs). Have been coming here for years and very happy with everything they do."- J.O. / Google / Mar 30, 2021
"Fantastic experience. The office was clean and efficient. The Invisalign process was easy and painless."- A.B. / Google / Mar 24, 2021
Apicoectomy procedures may be recommended for individuals who have root canal-treated teeth in which the infection has remained or returned surrounding one or more of the tooth roots. Following a root canal procedure, a tooth typically receives a dental crown or restoration to strengthen and protect the outer structure. When the presence of restoration makes retreating the tooth with a second root canal too difficult, our endodontist may recommend an apicoectomy to preserve the tooth. This type of endodontic microsurgery may also be considered for infected teeth that have dilacerated (curved or bent) roots, which may render root canal treatment very challenging and fail to deliver successful results. Our in-house endodontist utilizes the latest in advanced technology to evaluate infected and internally damaged teeth to precisely determine if performing an apicoectomy is the best treatment option for saving your tooth and oral wellness.
What to Expect
Apicoecotmies are performed by our well-trained endodontist in one of our comfortable, state-of-the-art treatment rooms. Prior to beginning your procedure, our team will numb your tooth and surrounding bone tissue and cater to your comfort throughout your entire visit. Using precision skill, our endodontic specialist will then make an incision in your gums near the affected root(s) and gain access to the tooth. The affected root tips and any damaged bone tissue will be sectioned and removed using an advanced surgical technique. After the area is thoroughly disinfected, a small filling will be placed to seal off the canal and sutures will be placed to close the incision. At the end of your visit, our team will provide you with instructions on how to take care of the area at home and when to schedule a follow-up evaluation for suture removal.
During the first few days following a root removal procedure, you may notice bruising, numbness, or soreness in your jaw. Ice packs or cold compresses can be used to provide relief from these symptoms. A prescription for antibiotics or pain medication may be given to manage the infection and post-operative discomfort. Avoiding crunchy, chewy, or hard foods can help minimize trauma to the area and expedite healing. While your mouth should heal within a couple of weeks following your apicoectomy, the surrounding bone tissue generally takes several months to fill in and regenerate. You can help reduce your risk of future dental problems by attending routine dental cleanings and exams at PDADental and maintaining a good oral hygiene regimen at home each day.
Endodontic treatment, including apicoectomies, are commonly covered in part by many dental insurance policies. To learn about your specific plan, a member of our billing staff will talk with your provider and create an estimate of your insurance coverage and any out-of-pocket costs. PDADental offers a variety of easy payment options, including flexible financing through CareCredit®, and can help you choose the right solution for your needs.
Teeth that are still impacted by infection after initial root canal therapy may be best treated with an apicoectomy procedure. Performed at the hands of our proficient endodontist, apicoectomies remove affected root tip(s) and damaged bone to restore oral health while saving the tooth and preserving its visible appearance. For the comprehensive care you need from a trusted team, schedule your consultation at PDADental in the Financial District of Lower Manhattan, NY.