Apicoectomy

Gentle, Precise Root End Surgery When Your Tooth Needs It

Dealing with persistent pain after a root canal? Sometimes, even after successful treatment, infection can linger at the root tip of a tooth. That is where an apicoectomy comes in. At One Endodontics, our specialists provide advanced root end surgery with a focus on saving your natural tooth and getting you back to comfort as quickly as possible.

Whether you are in Falls Church, Gainesville, or Sterling, you will find experienced endodontic care and modern technology close to home.

What Is an Apicoectomy?

An apicoectomy is a minor surgical procedure that removes the tip of your tooth's root along with any surrounding infected tissue. It is a targeted approach designed to clear out stubborn infection that traditional retreatment cannot always reach. The procedure typically takes between 30 and 90 minutes and is performed under local anesthesia, so you stay comfortable throughout.

This type of endodontic surgery is commonly recommended when a previous root canal has not fully resolved the issue, or when retreatment is not the best option due to the tooth's anatomy or existing restorations. The goal is to save your natural tooth and eliminate discomfort for good.

What to Expect Before, During, and After

Before your procedure, our team reviews your dental history and takes detailed imaging to map out the precise area of concern. We walk you through every step so you know exactly what to expect before anything begins.

During the apicoectomy, your endodontist makes a small incision in the gum tissue to access the root tip. The infected portion is removed, the root canal is sealed from the end, and the tissue is sutured closed. Most patients report feeling minimal discomfort during the procedure itself.

After surgery, some mild swelling or tenderness for a few days is completely normal. Over-the-counter pain relievers and ice packs are typically enough to manage any discomfort, and most people return to their normal activities within 24 to 48 hours.

Why Patients Choose One Endodontics for Their Apicoectomy

Our endodontists complete years of additional training beyond dental school, focusing exclusively on complex root canal procedures and endodontic surgery. That level of specialized expertise matters when precision is everything. We also use 3D cone beam imaging to see exactly where infection is present and plan treatment down to the millimeter, which leads to better outcomes and fewer surprises.

Apicoectomies at One Endodontics are performed using surgical microscopes that magnify the treatment area up to 25 times. This microsurgical precision allows for more conservative treatment, better preservation of natural tooth structure, and faster healing. Combined with our comfort-focused approach and three convenient locations across Northern Virginia, patients consistently find expert care without a long drive or a stressful experience.

Modern Tools for Better Results

Technology makes a real difference in root end surgery. At One Endodontics, we combine digital radiography, 3D imaging, and surgical microscopes to enhance accuracy and reduce treatment time. These tools allow us to remove only what is necessary while preserving as much of your natural tooth as possible.

We also use biocompatible materials to seal the root end, which promotes faster healing and supports long-term success. Our focus is on doing the job right the first time so you can move forward with confidence.

Your Comfort Is Our Priority

We understand that dental procedures can feel overwhelming, especially when surgery is involved. That is why our team takes the time to explain what is happening at every stage and answer any questions you have. You are always in control, and we are here to support you from the first consultation through the final stage of recovery.

If you are curious about what root end surgery involves, we are happy to walk you through it before your appointment even begins. Our specialists have years of experience helping patients feel at ease, including those who have dealt with dental anxiety in the past.

Frequently Asked Questions About Apicoectomies

Most patients experience minimal discomfort during the procedure thanks to local anesthesia. Afterward, mild soreness is normal for a few days but is usually manageable with over-the-counter pain relievers. Initial healing typically happens within a week, though complete bone healing can take several months. Most patients return to their regular routines within a day or two.

Apicoectomies have a high success rate, typically between 85 and 95 percent. When performed by an experienced endodontist using modern technology, the odds of saving your tooth are excellent.

Ready to Save Your Tooth?

If you are dealing with persistent discomfort or your dentist has recommended an apicoectomy, the sooner you address it the better your chances of a successful outcome. Our team at One Endodontics is ready to help you feel better and keep your natural smile intact.

Contact us today to schedule your consultation or book your appointment online. We will review your case, answer all your questions, and create a treatment plan that works for you.