Microsurgery in Kirkland, WA

When a persistent tooth infection persist after conventional treatment, endodontic microsurgery offers a precise solution, targeting the root's apex and surrounding tissues to restore oral health. Endodontic microsurgery typically goes beyond a traditional root canal procedure. While a root canal involves cleaning out the infection from the inside of the tooth through its root canal system, endodontic microsurgery is used at Prime Endodontics when these conventional methods are insufficient or when issues persist. By focusing on the external aspects of the tooth and surrounding tissues, endodontic microsurgery allows for a more direct approach to complex problems, which can preserve a tooth that might otherwise need to be extracted. The use of specialized instruments and magnification makes it possible to achieve a level of precision that is often crucial for such complex dental issues. Contact our dental team at our Kirkland, WA practice to schedule an appointment, and explore whether microsurgery can help save a tooth that might otherwise require extraction.

Endodontic microsurgery, often called an apicoectomy, is performed when anatomical concerns with the root tip threaten the health of neighboring teeth. It serves as a viable alternative to tooth extraction, potentially preventing the need for an implant, bridge, or denture to maintain tooth alignment. Our team will take x-rays to assess the condition of the root canals, roots, and surrounding tissues. During the surgery, local anesthesia is administered to numb the area, and our endodontist makes a small incision in the gums. Our dental practitioners will examine the bone, remove any infected tissue, and if needed, trim and refill the root's end before stitching the gums for healing. Over time, the bone regenerates around the treated root.

Endodontic microsurgery offers a targeted approach to address complex dental issues when traditional root canal treatments fall short. This specialized procedure helps preserve natural teeth and enhances long-term oral health outcomes, as well as presents these benefits:

  • Tooth preservation
  • Enhanced precision using microscopes and specialized tools
  • Improved healing
  • Minimized complications addressing anatomical issues at the root and preventing affecting neighboring teeth
  • More cost-effective than undergoing extractions and other restorative treatments

I am delighted to share my experience. Dr. Cohenca performed a root canal Treatment From the moment I arrived, the care and attention provided by the entire team were outstanding. Dr. Cohenca ensured that I was comfortable and well-informed throughout the procedure. The pre-operative care was thorough, making me feel at ease and confident in the treatment plan. I highly recommend Dr. Cohenca and their practice to anyone seeking top-notch dental care. Their dedication to patient comfort and successful outcomes is truly commendable.

S.M. Google

Dr. Cohenca might look like a regular endodontist, but in reality he is a magician. Knowledgeable and personable, he created a great atmosphere. With expert hands, he delivers the best dentist experience that you can live through. The staff lives up to the expectations and the office gives you a sense of harmony. You won't be disappointed. Thank you Dr.

C.O. Yelp

I have no words enough to say how wonderful he is, very gentle, professional, is an incredible human and good heart. Simply the best in the world.!

D.C. Google

We had the greatest experience with Dr Cohenca. He explained everything ahead so clearly and kept giving details during the treatment, so my daughter felt calm and relaxed. The stuff is friendly and supportive, Loved this place, surely recommend it

I.O. Google

Entire process was quick, professional and better than expected. Thank you Dr. Cohenca and your entire team.

S.K. Google


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If you're facing persistent dental issues that conventional treatments haven't resolved, our dental professionals at Prime Endodontics in Kirkland, WA are here to help. With our specialized skills in endodontic microsurgery, we provide tailored solutions to save your natural tooth and improve your overall oral health. Don't let dental problems disrupt your life any longer. Schedule an appointment with Prime Endodontics today to explore how our innovative treatment options can make a positive difference for you.

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