Endodontist Surgery in Madison, NJ
When it comes to saving natural teeth and relieving dental pain, nothing is more important than choosing an expert team that specializes exclusively in endodontic care. At Liv Endodontics, we provide advanced endodontic surgery in Madison, NJ, designed to restore oral function, eliminate infection, and preserve your natural smile using the latest technology in a calm, supportive environment. Our practice is built around clinical excellence, patient comfort, and a personalized approach to care, ensuring that every treatment is tailored to address the unique needs of your tooth, surrounding tissues, and long-term oral health. Whether you are experiencing severe tooth pain, have been referred by your dentist, or need microscopic root canal surgery, our specialty services offer the highest standard of care backed by board-certified endodontic expertise.
Understanding Endodontic Surgery and Why It’s Necessary
Endodontic surgery is a highly specialized branch of dentistry focused on identifying and treating complex problems affecting the interior of the tooth and its surrounding structures. While general dentists may perform routine root canals, there are situations where a tooth requires surgical intervention to fully remove infection, address structural complications, or treat areas that standard root canal therapy cannot reach. Our endodontic surgery in Madison, NJ, is performed using state-of-the-art microscopes, digital imaging, ultrasonic instruments, and advanced biocompatible materials to ensure absolute precision and healing success.
Endodontic surgery, commonly referred to as apical surgery or apicoectomy, targets the root tip of the tooth, where persistent infection may remain even after previous treatment. These microscopic infections can compromise surrounding bone and gum tissue, causing pain, swelling, or cyst formation. Left untreated, such conditions can lead to tooth loss, spread of infection, and damage to adjacent teeth. At Liv Endodontics, these complex issues are addressed with minimally invasive surgical techniques that allow for targeted removal of diseased tissue while preserving as much healthy structure as possible. The goal is always tooth preservation, because saving a natural tooth is almost always the best long-term solution compared to extraction or implants.
The Liv Endodontics Surgical Experience – Technology, Comfort, and Precision
At Liv Endodontics, endodontic surgery is a refined process that combines clinical precision with patient comfort and safety. We understand that undergoing oral surgery can be intimidating, which is why we provide a calming environment, clear communication, and modern sedation options to ensure a pain-free and reassuring experience from consultation to recovery. Our skilled team walks each patient through the steps of their treatment, explaining what to expect and how surgery will resolve their symptoms and protect their long-term oral health.
The surgical procedure begins with local anesthesia or sedation based on patient preference and clinical need. Once the area is fully numb, a small incision is made in the gum to expose the underlying bone and root tip. Using microscopic magnification, our endodontist carefully removes any inflamed or infected tissue around the root, along with a few millimeters of the root tip that contains infected canal space. The area is then meticulously cleaned and sealed with a biocompatible root-end filling material, preventing bacteria from re-entering the canal. In many cases, bone graft material may be placed to support natural bone regeneration and accelerate healing.
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.
Long-Term Benefits and Why Liv Endodontics Is Madison’s Choice for Surgical Endodontics
Choosing endodontic surgery in Madison, NJ, offers long-term benefits that impact not just your comfort but your overall oral health, bone structure, and quality of life. Preserving the natural tooth allows you to maintain proper bite alignment, prevent bone loss, and support the aesthetics of your smile. Unlike tooth extraction, which can lead to complications such as shifting teeth, bite imbalance, and costly prosthetic replacements, endodontic surgery provides a permanent solution by eliminating infection and reinforcing the natural root structure.
Patients who undergo surgery at Liv Endodontics experience lasting relief from pain and infection, as well as restoration of normal chewing function. In many cases, the treated tooth lasts a lifetime with proper oral hygiene and regular dental care. By targeting infection at the root, we prevent the need for more extensive treatments in the future and help our patients maintain their natural teeth in optimal condition. The high success rate of surgical endodontics, especially when performed using advanced technology and biocompatible materials, makes it a trusted procedure among dental professionals and specialists.
Expert care, close to home
Request your appointment today and experience modern, painless endodontic care.
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
Cracked tooth treatment
Root canal retreatment
Emergency dentistry
Apicoectomy & microsurgery
Lightening discolored teeth