Apicoectomy
Why would I need endodontic surgery?
Generally, a root canal is all that is needed to save teeth with injured pulp from extraction. Occasionally, this non-surgical procedure will not be sufficient to heal the tooth and Drs. Baird, Stanley, Malueg, Horwitz, Morrow, Mohorn or Schweizer will recommend surgery. Endodontic surgery can be used to locate fractures or hidden canals that do not appear on x-rays but still manifest pain in the tooth. Damaged root surfaces or the surrounding bone may also be treated with this procedure. The most common surgery used to save damaged teeth is an apicoectomy or root-end resection.
What is an apicoectomy?
The video above illustrates this simple procedure. An incision is made in the gum tissue to expose the bone and surrounding inflamed tissue. The damaged tissue is removed along with the end of the root tip. A root-end filling is placed to prevent reinfection of the root and the gum is sutured. The bone naturally heals around the root over a period of months restoring full function.

1. Infected Tissue

2. Tissue Removed

3. Suture Placed

4. Healing Complete
What should I expect after an apicoectomy?
Following the procedure, there may be some discomfort or slight swelling while the incision heals. This is normal for any surgical procedure. To alleviate any discomfort, an appropriate pain medication will be recommended. If you have pain that does not respond to medication, please call our office.
Does Your Tooth Still Hurt After a Root Canal?
Piedmont Endodontics can perform an Apicoectomy to relieve pain and save your natural teeth!
Piedmont Endodontics
Patient Review by Denise F
Dr.William Stanley is the best endodontist I have ever used. I loved how he explained my condition with me as well as treatment options. On the day of the procedure I was very nervous, but Dr.Stanley soon made me feel comfortable & relaxed and the procedures was painless. Truly amazing experience, Highly recommend this office, Dr.Stanley and staff are an Awesome team!
- Denise F
Patient Review by Karen S
Dr Baird had a very calming presence. He checked on me while for waiting for numbing to take affect. Very reassuring and hopeful about results from procedure. Noticed his appreciation toward his staff while working on my tooth. I really believe he likes his staff and enjoys working with them. Very impressed he had a nursing student in to watch apicoectomy. Also, Candace did great job answering many questions and helping with filing of insurance. Very sweet personality.
- Karen S