When a Root Canal is not enough, an Apicoectomy can eliminate infection and preserve your natural tooth. Our board-certified oral and maxillofacial surgeons provide expert Apicoectomy care at two convenient Central New Jersey locations.
Overview
What is an Apicoectomy?
An Apicoectomy, sometimes called Root End Surgery, is a minor surgical procedure that removes the very tip of a tooth's root along with any surrounding infected tissue. Rather than extracting the tooth, it allows your oral and maxillofacial surgeon to address the problem directly at its source, preserving your natural smile and avoiding the need for a Dental Implant or other replacement. Most patients are surprised by how straightforward the experience is and how quickly they get back to normal.
When do you need an Apicoectomy?
You may need an Apicoectomy if a previous Root Canal has not fully resolved an infection, if imaging reveals a cyst or lesion at the root tip, or if retreating the Root Canal is not a viable option due to a post, crown, or complex root anatomy. Persistent pain or swelling near a tooth that has already been treated is often the first sign that something needs further attention. If your dentist or endodontist has referred you for an Apicoectomy in the Princeton Junction or Mercerville area, our surgeons are ready to help. We use advanced 3D Imaging and microsurgical techniques to evaluate your situation and recommend the most effective path forward.
Benefits of an Apicoectomy
- Saves your natural tooth, avoiding extraction and replacement
- Directly targets infection or inflammation at the root tip
- Minimally invasive with a relatively straightforward recovery
- Performed under Local Anesthesia with Sedation options available
- Resolves persistent symptoms that Root Canal treatment alone could not
- Preserves surrounding bone and tissue for long-term oral health
From prep to recovery, you’re in good hands.
What to expect
Before surgery
Your oral and maxillofacial surgeon will review your dental and medical history and examine your imaging to confirm that an Apicoectomy is the right approach for your situation. You will receive pre-operative instructions covering dietary restrictions, medications to pause, and what to arrange for the day of your procedure. If you have any anxiety about surgery, ask us about our sedation options at either of our Central New Jersey offices.
During surgery
Your surgeon will administer Local Anesthesia before making a small incision in the gum tissue near the affected tooth. The tip of the root and any infected tissue are carefully removed, and a small filling is placed to seal the root end. The incision is then closed with sutures. Most Apicoectomy procedures are completed in one to two hours.
After surgery
Some swelling, mild discomfort, and light bleeding in the first day or two are normal and expected. Your surgeon will provide detailed post-operative instructions covering pain management, diet, and activity restrictions. Most patients return to normal daily activity within a few days, and a follow-up visit allows your surgeon to confirm that the infection has resolved and healing is on track.
If your dentist or endodontist has referred you for an Apicoectomy, or you are experiencing persistent pain near a previously treated tooth, our team is here to help. Schedule a consultation at either of our Central New Jersey locations today.
Your questions, answered.
Oral & Maxillofacial Surgery of Central New Jersey is here to address all your questions and concerns regarding Apicoectomy.
What is an Apicoectomy and why would I need one?
An Apicoectomy is a surgical procedure that removes the tip of a tooth's root along with any infected tissue surrounding it. It is typically recommended when a Root Canal has not fully resolved an infection, or when retreating the Root Canal is not feasible. Rather than removing the tooth entirely, an Apicoectomy allows your oral and maxillofacial surgeon to address the problem at its source and preserve your natural tooth for the long term.
Do I need an Apicoectomy after a Root Canal?
Not every Root Canal leads to an Apicoectomy, but some do. If infection or inflammation persists at the root tip after a Root Canal, or if retreatment is not a practical option, an Apicoectomy may be the most effective next step. Your dentist or endodontist will typically identify the issue through X-Rays or 3D Imaging and refer you to an oral and maxillofacial surgeon for evaluation and treatment.
Is an Apicoectomy painful?
The procedure is performed under Local Anesthesia, so you should not feel pain during surgery. Sedation is also available for patients who want extra comfort and relaxation. After the procedure, mild discomfort, swelling, and tenderness are normal and typically manageable with over-the-counter pain medication. Most patients find the recovery far more comfortable than they expected, with discomfort subsiding within a few days.
How long does an Apicoectomy take?
Most Apicoectomy procedures are completed in one to two hours, depending on the location of the tooth and the complexity of the root anatomy. Front teeth are generally more straightforward, while back molars may take a bit longer. Your surgeon will give you a personalized estimate during your consultation after reviewing your imaging and treatment plan.
How long is the recovery after an Apicoectomy?
Most patients return to normal daily activities within two to three days. You may experience some swelling and mild discomfort during the first day or two, manageable with over-the-counter medication and ice. Your surgeon will provide detailed post-operative instructions covering diet, activity, and oral hygiene. A follow-up appointment will be scheduled to monitor your recovery and confirm the infection has fully resolved.
What is the success rate of an Apicoectomy?
Apicoectomy has a strong track record as a tooth-saving procedure, with studies generally reporting success rates between 85 and 97 percent depending on the tooth location, extent of infection, and the patient's overall oral health. When performed by a trained oral and maxillofacial surgeon using modern microsurgical techniques and advanced 3D Imaging, it offers a highly predictable and effective outcome for most patients.
How much does an Apicoectomy cost?
The cost of an Apicoectomy varies depending on the complexity of your case, the location of the tooth, and your insurance coverage. Many dental insurance plans cover a portion of the procedure. We encourage you to contact either of our Central New Jersey offices, where our team can help you understand your coverage and discuss payment options so cost is not a barrier to the care you need.
Ready to take the next step?
Our team is here to answer your questions, walk you through your options, and help you feel confident about your care. Scheduling is simple, and we’ll guide you every step of the way.
