When non-surgical root canal therapy isn’t enough to save your tooth, Dr. Concepcion may recommend endodontic surgery. This procedure is used to find small fractures or hidden cananls previously not detected on X-rays during the initial treatment. It also might be needed to remove calcium depositis in root canals or to treat damaged root surfaces and/or the surrounding bone of the tooth.

The most common surgery used to save damaged teeth is an apicoectomy or root-end resection, which may be needed when inflammation or infection persists in the bony area around the end of your tooth after a root canal procedure or becomes an issue at a later date.

diagram of endontic surgery

What is an apicoecomy?

In this microsurgical procedure, Dr. Concepcion will open the gum tissue near your tooth to view the underlying bone and remove any inflamed or infected tissue. She will also remove the very end of the root, then place a small filling to seal the end of the root canal and prevent reinfection. Finally, she will place a few stitches or sutures to help the tissue heal. The bone naturally heals around the root over a period of months, restoring full function.

Local anesthetics make the procedure comfortable, and most patients return to normal activities the next day. There may be some discomfort or slight swelling while the incision heals, which is normal for any surgical procedure. To alleviate post-surgical discomfort, Dr. Concepcion will recommend an appropriate pain medication.

Apicoectomy Explained

For more information please view this video produced by the American Association of Endodontists

Apicoectomy FAQs

What are the alternatives to endodontic surgery?

Tooth extraction is the only other alternative. An extracted tooth must then be replaced with an implant, bridge or removable partial denture to restore chewing function and to prevent neighboring teeth from shifting. These options entail extensive surgery or dental procedures on adjacent healthy teeth and can be far more expensive and time-consuming than retreatment and restoration of a natural tooth.

Regardless of how effective tooth replacements are—nothing is as good as your own natural tooth!

How do I know the surgery will be successful?

When Dr. Concepcion suggests endodontic surgery, she believes it is the best option for saving your own natural tooth. As with any medical or dental surgery, there are, of course, no guarantees. Dr. Concepcion will discuss your chances for success so that you can make an informed decision.

Will the procedure hurt?

Local anesthetics make the procedure comfortable. Of course, you may feel some discomfort or experience slight swelling while the incision heals, which is normal for any surgical procedure. Dr. Concepcion will recommend appropriate pain medication to alleviate your discomfort and will also provide detailed post-operative instructions for you to follow. If you have questions after your procedure, or if you have pain that does not respond to medication, please contact our office.

Does insurance cover endodontic surgery?

Dr. Concepcion and her team will discuss the fees with you at the time of your appointment. Since each insurance plan is different, prior to treatment be sure to check with your dental and medical insurance carriers to determine coverage.

At Advanced Endodontics, Dr. Concepcion is in-network with several insurance providers. Please call to inquire if your insurance plan is accepted at our office. If your plan is out-of-network, we are always happy to file a claim to your insurance provider for you. We will always work with you to determine your estimated cost for treatment so you can be prepared.

Please visit our Financial Options to learn more about what insurance plans and other healthcare financing options we accept.

Maria Concepcion, D.M.D

250 W. Lancaster Ave.
Paoli, PA 19301

Office Hours

Monday:8am - 5pm
Tuesday:8am - 5pm
Wednesday:8am - 5pm
Thursday:8am - 5pm
Friday:8am - 5pm

Contact Us!

Phone:   610.644.8899

Phone:   610.644.8899

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