Apicoectomy (Surgical Root-End Procedure) in New York City
A Solution for Persistent Root Canal Problems
When root canal treated teeth experience issues, most commonly the return of infection, a subsequent procedure may be needed. In these situations, it may be recommended to have a procedure called an apicoectomy, also known as root-end surgery. This treatment focuses on treating a troubled root canal and extending the tooth’s life, in lieu of extracting it.
What is an Apicoectomy?
An apicoectomy is a minor oral surgery procedure that targets the apex — or the tip — of a tooth’s root. This treatment is typically recommended when inflammation or infection persists or returns at the root tip after a root canal has already been performed. Instead of removing or extracting the entire tooth, this technique involves cleaning out the area of infection, sealing the root end internally, and maintaining the tooth’s function.
Unlike a root canal, which treats the interior of the tooth’s canals, an apicoectomy addresses the tip of the root and the surrounding bone tissue. It’s often used when standard treatments have already been applied but symptoms or issues remain, especially in cases involving:
Hidden or complex root structures that are difficult to completely clean with traditional root canal therapy
Microscopic fractures or canal branches at the root end that do not appear on x-rays
Ongoing discomfort of a previously root canal treated tooth
Recurrent infection around the end [tip] of the tooth’s root
How the Apicoectomy Procedure Works
The apicoectomy process is highly targeted and minimally invasive. It involves several important steps, each designed to address the source of the problem while preserving as much healthy tooth structure as possible.
Step 1: Consultation and Diagnostic Imaging
First you’ll meet with one of our experienced oral surgeons for an evaluation. Digital imaging will be used to evaluate the affected tooth and surrounding bone. These images help pinpoint the exact location of the issue and help confirm whether apicoectomy is the right treatment option. Situations that may preclude an apicoectomy include advanced infection, close proximity to vital structures like nerves, the tooth being “loose” or mobile, root fracture, and teeth that cannot be subsequently restored.
Step 2: Surgical Access
Once the treatment area has been fully assessed and the tooth determined an appropriate apicoectomy candidate, a small incision is made in the gums near the affected tooth and the surgeon gently lifts the gum to expose the area. This creates access to the underlying bone and the root tip of the tooth.
Step 3: Removal of the Root Tip and Surrounding Tissue
With the apex of the root visible, the surgeon removes the affected end portion of the root along with any inflamed or affected tissue that may be present in the area. This helps eliminate the source of the ongoing inflammation.
Step 4: Root-End Filling and Sealing
After the root tip has been removed, a biocompatible filling material is placed at the end of the root canal to seal it. This step is critical to prevent future microbial infiltration and ensure long-term success. The filling creates a strong, stable barrier that supports healing.
Step 5: Closing the Incision
Once the treatment is complete, the gum tissue is repositioned and sutured back into place with dissolvable stitches. The procedure typically takes 30 to 45 minutes, depending on the location and complexity of the tooth.
Why Choose an Apicoectomy?
Tooth Preservation: This procedure allows retention rather than removal of the tooth
Resolves Lingering Symptoms: Apicoectomy focuses on addressing persistent discomfort
Minimally Invasive: The procedure involves a small surgical site and is completed quickly
What to Expect During Recovery
Healing from an apicoectomy is typically straightforward. Most patients resume daily activities soon after the procedure. You’ll be given clear aftercare instructions to promote healing and protect the treated area, with the basics including:
Follow oral hygiene guidance from your care team
Refrain from putting pressure on the area until it heals
Stick to soft foods temporarily
Return for scheduled follow-up appointments
Apicoectomy vs. Root Canal Re-treatment
In some cases, re-treating a root canal may not be possible. An apicoectomy provides a solution when the root tip is the source of persistent issues. It’s also ideal when structural features prevent re-treatment with traditional root canal methods.
Advanced Technology for Precision Outcomes
We use the latest digital imaging and surgical instrumentation to ensure precise diagnosis and treatment. Our tools help us provide efficient, effective care with minimal disruption to healthy structures.
Your Comfort Is Our Priority
From consultation through recovery, your comfort is our top concern. We provide a welcoming environment, personalized treatment plans, and ongoing support to make sure you feel confident every step of the way.
Take the Next Step
If you’re dealing with recurring issues after a root canal, apicoectomy may be the key to preserving your natural tooth and finding long-term relief. Our team is ready to help you explore your options and move forward with clarity and confidence.
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Dental implants are a permanent, secure solution that help preserve jawbone health and restore full oral function. If you're considering dental implants in New York City, reach out to Central Park Oral Surgery today — we’re here to guide you every step of the way.
The cost of dental implants in New York City can vary depending on each patient’s individual needs. Factors such as the number of implants, any required preparatory procedures, and the type of restoration used all affect the total cost. The most accurate way to determine your treatment cost is by scheduling a consultation with a dental implant specialist.
Dental implants function as artificial tooth roots that are surgically placed into the jawbone. Over time, they bond with the surrounding bone through a natural process called osseointegration. Once healing is complete, a lifelike restoration—such as a crown, bridge, or denture—is attached to the implant to restore the visible part of the missing tooth.
Caring for dental implants is similar to caring for natural teeth. Maintaining good oral hygiene—such as regular brushing and flossing—along with routine dental checkups and cleanings, plays a key role in keeping implants healthy. It's also important to avoid habits that can cause physical damage, like teeth grinding or using teeth as tools, to help ensure the longevity of your dental implants.
Tooth loss can impact more than just the appearance of your smile. It may interfere with your ability to eat comfortably and maintain a balanced diet. Over time, surrounding teeth can shift out of place, leading to bite misalignment and discomfort. In addition, missing teeth can contribute to bone loss in the jaw, which may affect your facial structure and oral health overall.
The best candidates for dental implants are individuals in generally good health, with no signs of active gum disease. They should have sufficient bone density in the jaw to support the implant and should not smoke or use tobacco products, as these can interfere with healing. A thorough evaluation by a dental implant specialist is recommended to determine eligibility for treatment.
Dental implants are designed to be a long-term solution for missing teeth, with the implant itself potentially lasting a lifetime if properly cared for. However, the crown—the visible part that resembles a natural tooth—may need to be replaced after 10 to 15 years due to normal wear and tear. The lifespan of a dental implant can vary based on factors like oral hygiene, lifestyle habits, underlying medical conditions, and regular dental visits. For best results, it's important to maintain good oral care and consult with a dental implant specialist for personalized guidance.
Whether dental implants are covered by insurance depends on your specific plan. Some dental insurance policies may offer partial coverage, while others exclude implants altogether or include strict limitations. In certain cases, coverage may only apply if the procedure is deemed medically necessary. To understand your options, it’s best to review your insurance policy or speak directly with your provider.
Our Patients Speak: Testimonials & Feedback
I’m very grateful. I have been one of those anxious and sensitive patients and honestly was freaked out coming to the city and they got me through two extractions, a bone graft and two implants with extreme care. I walked out smiling. Great people.
Dakota lane
I also suffer from tinnitus, and Dr. Andrei Mark took special care to ease my concerns about the noise. The entire procedure, from anesthesia to extraction, was seamless. It was completely pain-free and finished in under 10 minutes. I highly recommended.
Anthony Wagner
Dr. Andrei Mark successfully completed my implant surgery. I am so very pleased with the result. Dr. Andrei Mark is in my opinion is a very skillful and knowledgeable specialist. His manner with a patient in the chair is warm and pleasant.
Jerzy Zielinski
Dr. Andrei Mark and his staff treated me for almost one year, and they completed my dental implants very successfully. I could not be more pleased with the outcome. But more importantly, Dr. Andrei Mark treated me like I was his most important patient
Apicoectomy vs. Root Canal Re-treatment
