Our Endodontic Services

Endodontic Microsurgeries

What Are Endodontic Microsurgeries?

If you have had one or more failed root canals and are worried that your tooth may need to be extracted, ONE ENDO is here to help. We offer endodontic microsurgery (apicoectomies) as an alternative to extractions.

An apicoectomy involves surgically removing the infected tip of a tooth root, and replacing it with a biocompatible material to seal the tooth and prevent further infection. This minor surgery usually takes only 30-60 minutes, and is the best option for complex endodontic cases that can’t be resolved with root canal therapy alone.

Microscope for endodontic microsurgeries
Smiling woman

Am I a Good Candidate for Treatment?

Endodontic microsurgery is typically recommended for patients who have had a root canal in the past, but the infection has persisted after treatment, or even after multiple endodontic retreatments. It can be used to avoid a tooth extraction, which is usually the only other option if root canal treatment fails multiple times.

Sedation Available

At our office, we offer sedation to all patients undergoing endodontic surgery. With sedation dentistry at ONE ENDO, you can relax in the dentist’s chair and get a truly pain-free, comfortable treatment experience. To learn about your sedation options, book a consultation with our team today. Click the button below to learn more about our “Save Your Tooth” consultations.

The Apicoectomy Treatment Process


Cleaning & Numbing Your Mouth

To begin, your mouth will be cleaned to sanitize the treatment area, and the surgical area will also be thoroughly numbed. You can be sedated during this process, as well.


Lifting the Gum Tissue

Your endodontist will create a small incision near the root of the tooth, based on your x-rays, imaging, and treatment plan. Then, the gum tissue will be lifted to expose the roots of the tooth for surgical treatment.


Removing Infected Root Tip

The infected tip of the tooth root will be removed, along with any inflamed or infected tissue. This eliminates the infection and protects the integrity of the tooth.


Filling the Canal & Suturing the Gum

The root tip is filled with an inert, biocompatible material, which holds the tooth in place and seals the root, preventing further bacterial infection. After this, the gum tissue is folded and sutured back into place, completing the procedure.


Healing & Aftercare

Your endodontist at ONE ENDO will give you comprehensive instructions for healing and aftercare. You’ll usually take antibiotics and painkillers for a few days after your treatment, and come back to have your sutures removed after about a week. You may experience some minor pain and discomfort and mild bleeding while you recover, but this is normal.

Did You Know…

Apicoectomies have a typical success rate of 85%, making them a great option for restoring your smile. If you want more information regarding our services, take a look at our frequently asked questions.

Contact us at One Endo of Westchester, Greenwich and Norwalk

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