When a Root Canal Isn’t Enough

Apicoectomy in Summit, NJ

Sometimes a tooth that’s already had a root canal still causes discomfort or shows signs of infection. That’s where an apicoectomy comes in. It’s a minor surgical procedure that removes the tip of the tooth root and any infected tissue around it — without removing the tooth itself. At Prism Oral Surgery & Implants of Summit, we offer apicoectomies as a way to save teeth that might otherwise need to be extracted.

What an Apicoectomy Actually Does

While a root canal cleans the inside of the tooth, an apicoectomy addresses the outside — at the very end of the root.

Here’s what the procedure involves:

  • Making a small incision in the gum
  • Removing the infected tissue and the tip of the root
  • Sealing the end of the root with a filling to prevent further issues

This gives the area a fresh start and helps the surrounding bone heal naturally.

When We Recommend This Procedure

An apicoectomy may be the right option if:

  • A previous root canal didn’t fully resolve the infection
  • You have recurring swelling or discomfort near a treated tooth
  • There’s a cyst or inflammation at the root tip
  • Retreatment with another root canal isn’t possible

It’s often the last step to save a tooth before considering extraction or replacement.

What Your Visit Will Look Like

Here’s how we make the process clear and easy:

  1. Consultation & Imaging: We’ll take digital scans to pinpoint the infection and confirm that apicoectomy is the right next step.
  2. During the Procedure: Dr. Jean Kim, DDS — our Board-Certified Oral & Maxillofacial Surgeon — performs the surgery using precision tools and local anesthesia. We also offer sedation or general anesthesia if you prefer a deeper level of comfort.
  3. Aftercare: Recovery is generally mild. Most patients return to normal routines in a day or two, with some soreness and swelling that fades quickly.

FAQs

How is an apicoectomy different from a root canal?

A root canal treats the inside of the tooth. An apicoectomy treats the root tip and surrounding tissue when issues remain after a root canal.

Will I be in pain during the procedure?

No — we numb the area and offer sedation options to keep you fully comfortable.

How long does recovery take?

Most people recover within a few days. Soreness is usually mild and manageable with over-the-counter medication.

Is this procedure always necessary after a failed root canal?

Not always. We’ll explore all options, but when retreatment isn’t likely to work, apicoectomy is often the best way to save the tooth.

Ready to Take the Next Step?

Helping You Hold Onto Your Natural Tooth

If you’re still having issues with a root canal-treated tooth, an apicoectomy might be the fix that helps you keep it for the long haul. We’ll make sure you understand your options and feel confident every step of the way.

Call 908-224-1707 or contact us online to schedule your apicoectomy consultation in Summit, NJ.