APICOECTOMY (ENDODONTIC SURGERY)
Providing Emergency Dental Services for El Cajon, La Mesa, Spring Valley, Lemon Grove, Campo, Rancho San Diego, Alpine and Santee.
APICOECTOMY (ENDODONTIC SURGERY)

An apicoectomy is performed after an unsuccessful root canal. When an infection will not go away or returns after a root canal has been performed, this procedure is usually necessary. There are many nerves that may contain the infected tissue, so it is difficult to ensure that all of the infection is removed during a root canal. During an apicoectomy, the tip of the root of the tooth is removed and replaced with a filling.
Situations That May Require an Apicoectomy
An apicoectomy may be recommended if you have:
- An infection that does not resolve after a root canal
- A root canal infection that returns after treatment
- Persistent tenderness, swelling, or signs of infection near the root tip
- Root anatomy that makes it difficult to fully clean all infected areas with a root canal alone
Advantages of Apicoectomy Treatment
This procedure can provide several key benefits, including:
- Removes infection that remains after root canal therapy
- Helps prevent the infection from returning
- Preserves the natural tooth when retreatment alone may not be enough
- Seals the end of the root to block bacteria from re-entering
- Supports long-term tooth stability and comfort
Why Treating Persistent Infection Matters
A lingering infection can continue to irritate the surrounding tissues and may worsen over time if it is not addressed. When infection remains near the root tip, it can create ongoing discomfort and increase the risk of complications in the area. Treating the problem early helps control infection, protect the tooth, and support a healthier, more predictable outcome.
Apicoectomy FAQs
Is an apicoectomy done instead of a root canal?
- No. It is usually performed after a root canal has already been completed and the infection does not fully resolve or return.
What happens during an apicoectomy?
- During the procedure, the tip of the tooth’s root is removed and the end of the root is sealed with a filling to help prevent bacteria from returning.
Does an apicoectomy help save the tooth?
- In many cases, yes. The goal is to remove remaining infection while keeping your natural tooth in place.
Schedule an Apicoectomy Evaluation
If you’ve had a root canal and your infection has returned—or it never fully healed—an apicoectomy may be the right next step. Contact our office to schedule a consultation and learn which treatment option best supports your oral health.
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