When is Endodontic Microsurgery Needed?
If you have a tooth that just won’t heal after a root canal—or keeps developing abscesses or a small pimple on the gums—you might benefit from endodontic microsurgery (also called an apicoectomy).
This procedure is designed to remove infection from the tip of the tooth’s root and help save teeth that are otherwise difficult to treat with standard root canal techniques. It’s a safe, effective option to give your tooth a second chance.
The Microsurgery Process
Consultation
During your consultation, your endodontist will use advanced diagnostics, including 3D CBCT imaging, to evaluate your condition and explain treatment options and expected outcomes. Oral sedation is available—just let us know if you'd like to explore this option.
Surgery
During your appointment, the area will be numbed and a small opening is made in the bone near the affected tooth to access and remove any infected tissue along with the tip of the tooth’s root. The end of the root is then carefully sealed, and a few stitches are placed to support healing.
Suture Removal
After 1 week, a follow-up visit where your endodontist removes the stitches and examines healing. A one-year follow-up is recommended.
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