Apicoectomy Surgery
In some cases, a standard root canal or retreatment may not be enough to fully resolve an infection. That’s when apicoectomy surgery, also known as endodontic microsurgery, becomes the next step. At Purity Endodontics in Los Angeles, we perform this specialized procedure with precision and care, using advanced surgical techniques to preserve your natural tooth and restore your oral health.

Root canal therapy is designed to clean the interior of the tooth, but in rare cases, infection can persist at the tip of the root or in hidden canal branches. An apicoectomy involves gently lifting the gum tissue, removing the infected tissue at the root tip, and sealing the end of the root to prevent further issues. This microsurgical solution targets infection directly when traditional treatments aren’t enough.
Apicoectomy is typically recommended when retreatment is not possible or has already failed. Using surgical microscopes and digital imaging, we access the affected area with minimal disruption to surrounding tissues. The procedure is done under local anesthesia and most patients experience only mild soreness afterward, similar to a routine dental procedure.
Preserving your natural tooth remains our top priority. Apicoectomy offers an excellent chance of long-term success and helps avoid the need for extraction and replacement. At Purity Endodontics, we’re committed to providing this advanced care in a way that’s efficient, gentle, and focused on your comfort.
Frequently Asked Questions (FAQs)
Apicoectomy Surgery in Los Angeles, CA
Following your apicoectomy procedure, proper post-operative care is essential for optimal healing and long-term success. Most patients can return to normal activities within 24-48 hours, though we recommend avoiding strenuous physical activity for the first few days. Initial healing of the gum tissue typically occurs within one to two weeks, while complete bone regeneration around the treated root tip takes several months. During this time, regular follow-up appointments allow us to monitor your progress and ensure the infection has been completely eliminated.
Apicoectomy surgery has an excellent success rate, with studies showing success rates of 85-95% when performed by experienced endodontists using modern microsurgical techniques. The procedure effectively eliminates persistent infections that couldn’t be resolved through conventional root canal treatment, allowing patients to keep their natural teeth for many years to come. Factors that contribute to successful outcomes include proper case selection, use of advanced surgical microscopes, biocompatible sealing materials, and adherence to post-operative care instructions.