Apicoectomy in Trussville, AL

An apicoectomy is a specialized endodontic procedure performed when a tooth does not heal properly after root canal therapy, often due to infection or inflammation at the root tip. It is designed to preserve the natural tooth and protect overall oral health when other treatments are not sufficient. At Endodontic Associates Trussville, our team uses advanced techniques and technology to provide precise, effective treatment. To learn more about this procedure or schedule a consultation, contact our office in Trussville, AL today.

An apicoectomy is performed using local anesthesia to ensure patient comfort, while additional sedation options may be available for those who may feel anxious. The procedure begins with a small incision in the gum tissue to expose the root of the affected tooth. One of our endodontists then removes the inflamed or infected tissue along with the very tip of the root before sealing the end of the canal with a biocompatible material to prevent reinfection. Once the area is cleaned and sealed, the gum is sutured to allow proper healing. Depending on the complexity of the case, an apicoectomy typically takes between 30 – 90 minutes, and most patients can return home the same day.

An apicoectomy provides a reliable solution for saving a tooth when root canal therapy alone is not enough. Benefits of an apicoectomy include:

  • Preserves the natural tooth and avoids extraction
  • Removes persistent infection or inflammation at the root tip
  • Relieves pain and discomfort
  • Prevents infection from spreading to surrounding bone and teeth
  • Promotes long-term healing and stability
  • Restores normal chewing and function

I had a root canal and an apicoectomy. The staff and assistants were wonderful. I am was very pleased with Dr. Matthew Dean. I don't think I could have had...

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Perfect end after a root canal and an apicoectomy. All is well. Dr Dean was wonderful as were all of his assistants.

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The best candidates for an apicoectomy will have already had a root canal treatment, but the infection has remained or returned in the tips of the root. After you get a root canal procedure, a dental bridge or crown is often used to strengthen and protect the tooth. This can make a second root canal or endodontic retreatment difficult if an infection is found because these procedures could destroy or weaken the bridge or crown. This is why an apicoectomy procedure at Endodontics Associates may be the best treatment to eliminate the current infection, support long-term tooth preservation, and help prevent future infections from occurring.

What’s the difference between apicoectomy vs. root canal retreatment?
How soon will I know if I need an apicoectomy?

In many cases, the need for an apicoectomy becomes clear if symptoms persist or if healing does not occur after initial treatment. Follow-up imaging helps determine whether the infection has resolved or remains at the root tip. Our team will monitor your progress and let you know if this more targeted approach is necessary.

Does apicoectomy hurt more than a root canal?

For most patients, the experience is comparable in terms of comfort. The area is numbed thoroughly, and the procedure is designed to be as controlled and manageable as possible. Some post-procedure soreness is normal, but our team will provide guidance to help you stay comfortable during recovery.

At Endodontic Associates Trussville, we provide advanced apicoectomy treatment to save natural teeth and restore long-term oral health. This procedure can be an effective solution when root canal therapy alone isn’t enough, helping relieve pain and prevent further complications. Don’t wait to protect your smile — contact our office in Trussville, AL today to schedule your consultation.

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*Individual results are not guaranteed and may vary from person to person. Images may contain models.