Understanding Root Canal Apicoectomy: What It Is and Why It Matters
When typical root canal therapy doesn’t fully resolve infection or inflammation in the tip of the tooth’s root, a root canal apicoectomy becomes a vital option. At Liv Endodontics, we specialize in this advanced procedure, also called “apical surgery ”, which targets problems that lie beyond the reach of ordinary canal treatment.An apicoectomy involves removing a small amount of the root tip (apex) and surrounding infected tissue, sealing the root-end with a biocompatible filling material. This preserves more of your natural tooth, prevents further infection, and avoids extraction
The Procedure at Liv Endodontics: Precision, Comfort, Care
For our patients, undergoing a root canal apicoectomy at Liv Endodontics means receiving the most advanced care in a compassionate, calming environment. Here’s what the process typically involves:
Diagnosis & Planning
We begin with a detailed examination: reviewing your prior treatments, taking high-definition imaging (often CBCT) to view root tips and surrounding bone, and determining whether an apicoectomy is the best corrective path. This diagnostic phase ensures we understand the full picture, what you’ve already had done, where the infection or damage remains, and how best to access and address it.
Surgical Procedure
On the day of the procedure, you’ll be numbed locally to ensure comfort. Using microscopic magnification, our specialists access the root tip via a small incision in the gum tissue. The diseased tissue and apex are removed, the root end cleaned, and a sealing filling is placed to prevent re-infection. The incision is carefully sutured, and we employ techniques to reduce swelling and post-operative discomfort.
When Apicoectomy, Root Canal, Cracked Tooth & Emergency Dentistry Intersect
Sometimes dental issues overlap, and understanding how root canal apicoectomy fits with related treatments, like root canal therapy, treatment for a cracked tooth, or Emergency Dentistry, helps you make informed decisions.
- Root Canal vs. Apicoectomy: A standard root canal cleans out infection within the tooth’s pulp and fills the canal system. However, if infection persists at the root tip, beyond what the canal filling can reach, an apicoectomy removes that infected apex. Together, they can save a tooth that might otherwise require extraction.
- Cracked Tooth Complications: Cracks that extend toward the root tip can allow bacteria to migrate down and cause infection at the apex. In such cases, even after a root canal, symptoms may persist if the crack propagates into the bone or root end. An apicoectomy coupled with root canal treatment can help seal off these pathways and stabilize the tooth. At Liv Endodontics, we assess cracks with magnification and imaging to decide whether conservative root canal therapy alone will suffice or whether microsurgery is needed.
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.
Why Choose Liv Endodontics for Your Root Canal Apicoectomy
At Liv Endodontics, our mission is to preserve your natural teeth using the latest technology, surgical precision, and compassionate care. Here’s why patients in Livingston and Summit trust us:
- Our endodontists are NYU and Columbia-trained and stay current with scientific advances.
We use 3D CBCT imaging and microscopes to see details others miss. - We treat your pain, anxiety, and healing needs with comfort protocols and patient-centered communication.
- We offer comprehensive services, not just root canal apicoectomy, but root canal therapy, cracked tooth treatment, root canal retreatment, and emergency dentistry, so care is coordinated and efficient.
If you’re dealing with lingering root tip infection, failed root canal treatments, or a cracked tooth that compromises inner root health, don’t wait. Contact Liv Endodontics to explore whether a root canal apicoectomy is right for you.
Expert care, close to home
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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