When A Root Canal Treatment Isn’t Enough

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🦷 How An Apicoectomy Helps

Sometimes, a root canal treatment improves symptoms, but the problem doesn’t fully resolve. In those situations, an apicoectomy may be the next step to treat a persistent infection at the root tip—while also helping you avoid extraction.At Smiles For Health in Carlsbad (San Diego), we’ll explain your options clearly so you understand the why behind the plan. 😊

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apicoectomy procedure diagram root tip infection removal

🔎 What Is An Apicoectomy?

An apicoectomy (also called a root-end resection) is a surgical procedure used when a previous root canal didn’t fully resolve infection or when complications exist in the root.

During an apicoectomy, your dental professional:

  • Removes the infected or damaged root tip,
  • Cleans out surrounding infected tissue,
  • Thoroughly disinfects the area,
  • And seals it to help prevent reinfection.
root-end resection sealing root tip to prevent reinfection

⚠️ Why You Might Need An Apicoectomy After Root Canal Treatment

You may need for several reasons, such as:

  • Complex root canal anatomy,
  • Persistent infection,
  • A fractured root,
  • Or ongoing inflammation near the root tip.
saving natural tooth with apicoectomy instead of extraction

If left untreated, these issues can cause ongoing pain, swelling, bite sensitivity, and even tooth loss.

🛠️ What To Expect During Procedure

An apicoectomy is usually done under local anesthesia to keep you comfortable. In addition, our team uses specialized instruments and magnification to treat the area precisely.

After the procedure:

  • We suture the gum tissue back in place
  • and we give you clear aftercare instructions to support healing.

😌 Recovery: What Healing Feels Like

Even though it’s a surgical procedure, most patients tolerate recovery well. Typically, you can manage any discomfort with over-the-counter medication, following your dentist’s guidance. Most importantly, follow your post-op instructions to support healing and reduce complication risk.

recovery after apicoectomy procedure healing timeline

✅ Benefits Of Apicoectomy

An apicoectomy can offer meaningful benefits:

  • Save Your Tooth: helps preserve a tooth that might otherwise need extraction.
  • Address Persistent Infection: treats the problem at the root tip.
  • Relieve Pain: reduces pressure, swelling, and lingering discomfort.
  • Restore Function: helps you chew more comfortably again.

If you’ve had a root canal and still have pain, swelling, or lingering symptoms, don’t wait it out. Schedule a consultation at Smiles For Health to see if an apicoectomy can help save your tooth. 😊

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