Endodontic Microsurgery (Apicoectomy)

Occasionally, a tooth that has been treated with non-surgical endodontic treatment (i.e., root canal treatment or retreatment) may present a persistent or recurring infection. With the reinfection, you may experience sensitivity, pain, or swelling, or you may not have any symptoms at all.

Upon reviewing the nature of the disease, your dentist or endodontist might recommend endodontic microsurgery (apicoectomy) to treat the infection entirely and save your tooth.

We Always Have Your Best Interests In Mind

Occasionally, Dr. Alan Lee may suggest monitoring your tooth without any immediate intervention. Sometimes, he may recommend extraction as the best treatment option.

Dr. Alan Lee tailors his treatment plan by understanding your lifestyle needs and aspirations for oral health. Through his thoughtful approach, he ALWAYS has your best interests in mind.

When Do I Need an Apicoectomy?

Here are some reasons why a tooth that has undergone root canal treatment may still have a lingering infection:

  • Infection that has formed a cyst
  • A cluster of bacteria formed on the outer surface of the root
  • Inaccessible root canal

Such cases are more suitable for endodontic microsurgery, as these infections tend to be more resistant against the root canal (re)treatment and have a much higher success rate with endodontic microsurgery.

At Endodontic Excellence, we use leading-edge technology to perform these microsurgeries efficiently so that you feel comfortable throughout and after the procedure with successful outcomes.

What to Expect with an Apicoectomy

An apicoectomy is a minor surgical procedure where a small incision is made on the gum of the infected area. Dr. Alan Lee's extensive training and experience enable him to perform a minimally invasive microscopic surgery using a surgical microscope, hence called microsurgery. Moreover, Dr. Alan Lee uses a laser instead of a traditional blade and bur during the procedure, leading to faster recovery and little or no after-procedure discomfort.

Steps Involved with Getting an Apicoectomy

During your consultation appointment, Dr. Lee will discuss various treatment options with you after thoroughly assessing the causes and extent of the infection using cone beam CT, a technology that allows three-dimensional visualization of the affected area in high definition.

If endodontic microsurgery (apicoectomy) is needed, Dr. Alan Lee and his team will guide you through pre-procedure instructions and schedule your appointment.

Here are the steps to expect for your apicoectomy on the day of the procedure at our Reston, VA dental office: 

  • Thoroughly numb the area with pain-free computerized anesthetics.
  • Access and clean the infected root(s) using a surgical microscope, Erbium laser, and special ultrasonic tips.
  • Seal the end of the root with a bioceramic filling to prevent reinfection. 
  • Place thin sutures in the gum to facilitate healing.

Rest assured that, as a caring endodontist, Dr. Alan will perform the procedure efficiently and comfortably and with a high degree of precision. Most patients resume their usual activities the following day.

Your Follow-Up Visit

Our endodontic specialist will remove the sutures 5-7 days after the procedure and work together with your dentist to continue monitoring the health of your tooth closely.

If you have had root canal treatment and are still experiencing pain, you may need an apicoectomy, and our endodontist in Reston, VA can help. A referral from your dentist is not required to see our endodontist. We will evaluate your needs and confer with your dentist about our diagnosis and a treatment plan.

Please call Endodontic Excellence of Reston, Virginia at (703) 429-9926 to schedule an appointment so we can help you. We also serve patients in Reston, Herndon, Chantilly, Centerville, Manassas, Vienna, Fairfax, Tysons, Great Falls, Sterling, Ashburn, South Riding, Loudon County, and surrounding communities.