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.

Apicoectomy Surgery

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)

What is an apicoectomy, and when is it needed?
An apicoectomy is a minor surgical procedure that removes infection at the root tip of a tooth after a failed root canal or retreatment. It’s typically recommended when standard treatment can’t reach the source of the problem.
Will the procedure be painful?
The area is fully numbed with local anesthesia, so you won’t feel any pain during the surgery. Some post-operative tenderness or swelling is normal, but it’s usually mild and manageable with over-the-counter medications.
How long does it take to recover?
Most patients recover within a few days. We provide detailed post-op instructions to ensure smooth healing, and we’re always available if you have questions or concerns after your visit.

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.

The Proof is in Our Patients

Stephen Seo
Second time at this office and as the last time the procedure went well and my last root canal healed up nicely. Dr. Lee is very thorough, meticulous about his work, makes sure I don't have pain, and most important his work lasts and does not fail. I've seen other friends that had failed root canals and now has to get implants. Highly recommended, I will have my whole family come to him if necessary.
ivan
Dr. Lee was amazing, gentle, and explained everything in a way that made me feel totally at ease. I was honestly dreading the appointment, but it ended up being completely painless. I barely felt a thing and was shocked by how quick and smooth the whole process was. Everyone was great from the front desk to the back office!! I well definitely refer anyone needing an Endodontist. Thanks again guys!!!
Georgina Marroquin
Seen Dr. Lee twice for two different procedures (root canals) and both times have been great. Called in yesterday and was scheduled the same day for an appointment. Procedure was quick and it was painless. I would highly recommend Dr. Lee.
H KIM
The staff was kind, and they provided detailed explanations. The treatment was professional and thorough, which I really appreciated. I felt so comfortable during the procedure that I almost fell asleep. This is definitely a place I would recommend to my family and friends!
Nicole Montgomery
I was able to get appointment quickly and location was convenient and had parking. Gorgeous building and interior. Friendly staff and Dr. Lee was great, he explained everything and made root canal a quick easy pain free experience. Glad he was recommended to me.
Aerin Call
I had an amazing experience here. I got two root canals done within a week of each other & Dr. Lee & his staff handled me with so much. Everyone is personable & professional & the facility is well kept throughout. 10/10. No notes, no complaints.
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