Apicoectomy and microsurgery in Livingston & Summit, NJ
At Liv Endodontics, our NYU and Columbia-trained endodontists use advanced technology like CBCT imaging, Zeiss microscopes, and ultrasonic instruments to perform apicoectomies comfortably and effectively. Whether you’re in Livingston, Summit, or nearby areas of New Jersey, our team is here to deliver advanced care when it matters most.
Advanced technology
High success rate
NYU & Columbia-trained specialists
What to expect
An apicoectomy is a type of endodontic microsurgery used when a traditional root canal hasn’t fully resolved an infection. During the procedure, the tip of the tooth’s root is removed along with surrounding infected tissue. A biocompatible filling is then placed to seal the root end and prevent reinfection.
This precise approach is often the last option before tooth extraction and has a success rate of over 90% in properly selected cases. At Liv Endodontics, we use high-resolution imaging and surgical microscopes to increase your chances of long-term success.
1. Microsurgical planning
2. Anesthesia & access
3. Root-end removal & cleaning
The infected root tip is removed, and the area is cleaned thoroughly using micro-instruments and, if needed, laser-assisted techniques.
4. Retrograde sealing
The end of the root canal is sealed with a biocompatible filling material—often MTA—for a long-lasting, bacteria-tight seal.
5. Closure & healing
The gum is sutured, and healing begins. Most patients experience minimal discomfort and a smooth recovery with proper post-op care.
Most patients return to daily activities within 24–48 hours. Mild swelling or tenderness is normal and can be managed with over-the-counter medications.
For best results:
- Avoid chewing on the surgical side for a few days
- Stick to soft foods for 2–3 days
- Apply ice packs for swelling in 20-minute intervals
- Avoid extremely hot or cold foods
- Keep the area clean, but brush gently
- Contact us if you notice increased pain or swelling
Our team will walk you through every step of aftercare and is available for support anytime during your recovery.
Specialized microsurgical expertise
Advanced technology in every room
Patient-centered care
Same-day emergency appointments
Trusted by dentists across New Jersey
Apicoectomy & microsurgery: Precision surgery for complex root canal cases
If you’ve had a root canal but continue to experience pain or signs of infection, an apicoectomy may be the solution to save your tooth. This microsurgical procedure targets infection at the root tip—where standard treatments can’t reach—with incredible precision.
Still in pain after a root canal? Let’s save your tooth—right here in Livingston or Summit, NJ
Innovation
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NYU & Columbia-Trained
State-of-the-art
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Cutting-edge
Innovation
Precision
NYU & Columbia-Trained
State-of-the-art
Serene
Cutting-edge
Gentle
Specialist
Expert
Board Certified
Comfort
Patient-centered
Gentle
Specialist
Expert
Board Certified
Comfort
Patient-centered
Meet our NYU and Columbia-trained endodontic specialists
Ready to treat a persistent tooth infection?
If you’re still in pain after a root canal—or your general dentist has referred you for microsurgery—contact Liv Endodontics in Livingston or Summit today. Our advanced technology and compassionate approach ensure your treatment is precise, effective, and as stress-free as possible.
Frequently asked questions
Is an apicoectomy the same as a root canal?
No. A root canal treats infection from inside the tooth, while an apicoectomy treats infection at the tip of the root—usually when a previous root canal has failed. It’s a microsurgical solution used to preserve your natural tooth.
How do I know if I need an apicoectomy?
If you’ve had a root canal but still experience pain, swelling, or signs of infection, your dentist or endodontist may recommend an apicoectomy. At Liv Endodontics in Livingston and Summit, we use CBCT imaging to confirm if it’s the right treatment.
Is the procedure painful?
Not at all. The procedure is done under local anesthesia, and we offer sedation options for added comfort. Most patients report only mild soreness after surgery.
How long does it take to recover from an apicoectomy?
Most people resume normal activity within 1–2 days. Full healing may take a few weeks. We’ll provide detailed aftercare instructions and monitor your recovery closely.
What is the success rate of an apicoectomy?
Modern apicoectomies have a success rate of over 90% when performed with advanced imaging and microsurgical tools—both standard at Liv Endodontics.
Will I still need a crown after an apicoectomy?
Can an apicoectomy fail?
Like any procedure, there’s a small chance of failure—usually due to complex anatomy or untreated infection. However, our high-tech tools and surgical expertise greatly reduce that risk.
Are apicoectomies covered by dental insurance?
Many insurance plans cover part or all of the cost, especially if the tooth was previously treated with a root canal. We’ll help you confirm your coverage and explain your options.
What if I don’t treat the infection at the root tip?
Delaying treatment can allow the infection to spread to surrounding bone and tissue, possibly leading to tooth loss or more invasive surgery. Early action helps preserve your tooth and avoid complications.
Expert care, close to home
What our patients are saying
“ Outstanding experience. You can really trust the experts here. The space is clean, the team leads with professionalism and empathy. I felt very well taken care of.”
Patient
Summit
“Though a new patient, I was treated like an old friend. Courtesy, comfort and care for the patient appear to be top priorities here. Every person I saw was extremely nice and likable.”
Patient
Livingston
Root canal therapy