Apicoectomy

Same and next-day appointments are available

Uncover and address recurrent infections

When a minimally invasive root canal or retreatment isn’t enough to save your tooth, Apicoectomy may be the best option. Our board-certified endodontists are here to guide you through the process and make it comfortable and successful.

1. Consultation (45 minutes)

We understand that dealing with a failed root canal-treated tooth is frustrating. Your board-certified endodontist will help you determine the best next steps — whether that’s apicoectomy, endodontic retreatment, or tooth extraction. Your consultation will involve a comprehensive CBCT scan, examination, and diagnosis.

2. Comfort Amenities

Our goal is to ensure your comfort. We provide a cozy environment with a soft blanket, aromatherapy, and music of your choice. Enjoy pain-free anesthesia and sedation options including oral sedation.

3. Apicoectomy
Procedure (60-120 minutes)

An apicoectomy is a minor surgical procedure to remove the root tip and surrounding infected tooth tissue. Apicoectomy directly removes the abnormality. Utilizing Piezosurgery, our team can perform this procedure in a more gentle and precise manner, resulting in minimal trauma to the tissues and a more comfortable procedure for you.

4. Your Follow-up Visit

Thanks to our use of state-of-the-art technologies, you can expect a fast recovery period with little to no after-procedure discomfort or bleeding. We’ll remove the sutures 3-5 days after treatment and work with your dentist to continue monitoring the health of your tooth.

Pre-Op instructions

Post-Op instructions

The most advanced endodontics in the USA

Piezosurgery

Utilizing ultrasonic technology, Piezosurgery ensures meticulous intervention, reducing tissue impact and expediting the healing journey.

Sticky Bone and CGF

This state-of-the-art method, harnessed by an elite fraction of endodontists, leverages your body’s healing prowess to significantly enhance recovery after microsurgery.

3D CBCT

Low-radiation technology offers a detailed evaluation of teeth, jaws, sinuses, and nerves for accurate diagnoses and safe treatment planning. Easy, non-invasive, and safe.

Surgical Microscope

With up to 25x magnification, this microscope allows our Reston endodontists to safely and precisely perform even the toughest root canals and complex microsurgeries.

Do you need a root canal?

Patient Resources

Why do I need an apicoectomy?

Endodontic surgery may be recommended when:

  • A cluster of bacteria has formed on the outer surface of the root
  • The root canal space is inaccessible through the crown
  • A fractured root needs to be removed
  • You have an infection that has formed a cyst
  • A biopsy is recommended

What is the difference between an apicoectomy and endodontic retreatment?

An apicoectomy is a minor surgical procedure to remove the root tip and surrounding infected tooth tissue by making a small incision in the gum. Endodontic retreatment involves re-doing a root canal procedure, removing the old filling, cleaning the canals, and then refilling and sealing the tooth through the crown.

How much of the tooth is left after apicoectomy?

In an apicoectomy, only the very tip of the root (a few millimeters) is removed. It’s a very conservative surgery that preserves the tooth as much as possible.

Is an apicoectomy painful?

No! The procedure is performed under local anesthesia, just like a standard dental procedure. Most patients say it feels similar to getting a filling or root canal, and discomfort afterward is usually mild and manageable with over-the-counter medication. We’re always available by call or text, even after hours, if you have questions as you’re healing.

How does Endodontic Excellence help me heal faster after apicoectomy?

We use advanced techniques like Sticky Bone and Piezosurgery®, which promote faster healing, minimize trauma, and reduce swelling. These technologies, along with natural recovery support like StellaLife®, help speed up your recovery.

What is Sticky Bone?

Sticky Bone is a mixture of your own growth factors (from a small blood draw) and bone grafting material. If you’re a good candidate, it can help your body rebuild bone, reduce the risk of infection, and support long-term healing at the surgical site.

What should I expect as your patient?

We are committed to providing an exceptional patient experience. Our endodontists are accessible after hours and on weekends via call or text for your convenience. We also offer follow-up exams and CBCT imaging to ensure long-term success of your treatment. Discover the difference.

Close to where you live and work

11800 Sunrise Valley Dr., Suite #250
Reston, VA 20191
Get Directions

Monday–Friday: 8:30am–5:00pm
Flexible scheduling to fit your day

  • (703) 429-9926

Ready to experience pain-free endodontic care?