North Shore & Brookline Endodontics (NSBENDO) offers endodontic surgery in Brookline, Peabody, Beverly, Gloucester, and Newburyport. Contact us today at one of our five locations to learn more about our services and schedule your appointment. This includes apicoectomy, which goes beyond standard root canal treatment to help save a natural tooth.
We offer flexible appointment scheduling and emergency care for patients who need to be seen right away. To learn more or to schedule an appointment for a consultation, contact us at:
Beverly: 978-921-1039
Brookline: 617-735-8500
Gloucester: 978-281-2512
Newburyport: 978-462-9200
Peabody: 978-532-0500
What Is an Apicoectomy?
An apicoectomy is a procedure that is performed to surgically remove an infection inside the tooth and repair the roots. This is often recommended when a standard root canal procedure fails or is not an option.
During an apicoectomy, the endodontist:
- Creates a small opening in the gum tissue above the tooth
- Removes the tip of the root (apex) and any infected tissue
- Places a small filling to seal the root canal, and in some cases may place a bone graft to allow for advanced bone healing
- Places a few stitches to help the tissue heal
This specialized treatment at the tip of the tooth root can help prevent further infection and promote long-term tooth health.
Other endodontic surgical procedures we offer at North Shore & Brookline Endodontics include:
- Exploratory surgical procedures to aid diagnosis
- Root resection, which involves removing the damaged root of a molar and keeping the healthy portion
- Repair of a damaged root (root perforations, resorptions
When infection persists after standard care, a skilled dentist may recommend root end resection to address the root tip at the very end of the tooth. During this procedure, the endodontist opens the area to remove inflamed or infected tissue, clear hidden canals, and treat damaged root surfaces. This removal of inflamed tissue helps the underlying bone and surrounding bone begin to tissue heal properly, reducing inflammation and helping alleviate discomfort in the mouth.
The area is carefully numb, and small sutures are placed to support healing after the root end is sealed. Rather than waiting for symptoms to worsen or facing extraction, this procedure can be an effective alternative for treating an inflamed tooth. Visit our website to learn more about treatment options and what to expect.
Endodontic Surgery (Explained)
Endodontic Surgery (Summarized)
Benefits of an Apicoectomy
A key benefit of an apicoectomy is that it can help save your natural tooth. Even though there are many options today for tooth replacement, maintaining your real tooth is the best possible option to maintain overall tooth health, functionality, and appearance.
Are You a Good Candidate for an Apicoectomy?
You may be a candidate for an apicoectomy if you’ve had a root canal procedure but are still experiencing symptoms such as:
- Throbbing tooth pain
- Sensitivity to heat
- Sensitivity to touch while chewing
Why Choose North Shore & Brookline Endodontics?
At North Shore & Brookline Endodontics, we take the time to thoroughly assess the risk factors in every case. When needed, we use 3D imaging CBCT scans to evaluate and determine the best treatment option for your specific case. Along with providing high-quality care, we also strive to ensure a comfortable experience for patients from start to finish.
Frequently Asked Questions About Apicoectomy
Your endodontist will give you instructions about what to eat, how to handle any medications you are taking, and other ways to prepare. Since an apicoectomy is considered a minor surgery, you can reference pre-operative and post-operative instructions we provide for “Surgical Treatment.”
Here at North Shore & Brookline Endodontics, we offer sedation to help patients feel more at ease during apicoectomy and other procedures. Sedation is not provided as a standard procedure but can be a comforting option for people who experience a high level of fear or anxiety.
Each insurance plan is different, so it’s important to check with your policy. To help you navigate this process, our staff is happy to contact your dental insurance and confirm your benefits. Also, we offer monthly financing through Care Credit to help you manage your payments, if needed.
If you have concerns about a tooth infection or want to learn more about apicoectomy and other endodontic treatment options, contact us today to schedule a consultation.