Apical Surgery

Microsurgery services offered in Kirkland, WA

When root canal therapy fails to improve your tooth, and you’re not a good candidate for root canal retreatment, then you might benefit from microsurgery and root-end resection. The highly advanced procedure, also called apicoectomy, saves your tooth. Nestor Cohenca, DDS, FIADT, an expert endodontist at Prime Endodontics in Kirkland, Washington, specializes in apical microsurgery. To find out more about apical surgery, call the office or schedule an appointment online today.

Apical Surgery Q&A


What is apical surgery?

Microsurgery, also called apical surgery or apicoectomy, refers to the specialized surgery the endodontist at Prime Endodontics performs to treat a tooth that fails to respond to root canal therapy. 

During the procedure, your endodontist removes the tip of the root and any nearby infected tissue. The procedure is called an apicoectomy. 

The endodontist also looks for fractures in the root during microsurgery.

When do I need apical surgery?

You need microsurgery if you develop an infection in the pulp in your tooth or an infection fails to improve following root canal therapy. The endodontist at Prime Endodontics only recommends an apicoectomy when conventional treatments or a root canal retreatment can’t save your tooth.

The goal of any root canal procedure is to save your natural tooth. An apicoectomy is an advanced procedure that gives your endodontist an opportunity to help you keep your tooth. Otherwise, you may need a tooth extraction, which can lead to more oral health problems like infections and further tooth loss.

What happens during apical surgery?

Your endodontist at Prime Endodontics customizes your microsurgery treatment plan and reviews the details of the procedure during your consultation. First, they numb the area around your tooth with a local anesthetic.

Then, the endodontist makes an incision along the gum line near the affected tooth, revealing the underlying bone and tooth root. Your endodontist gently removes the infected root and surrounding infected tissue, cutting off the tip of the root. 

They disinfect and seal the area with a small filling in the root canal and then reattach your gum tissue with sutures.

What can I expect during recovery from apical surgery?

Prime Endodontics recommends you plan on taking it easy the rest of the day after your apicoectomy. Most patients resume their usual activities the next day. 

You can expect some pain and swelling at the site of your surgery. Your endodontist at Prime Endodontics gives you specific instructions on how to care for your teeth and gums following the procedure.

The gum heals soon after the procedure, and new bone grows around the tooth root within a few months. 

To find out more about microsurgery, call Prime Endodontics or schedule an appointment online today.