Apicoectomy in The Woodlands, TX

An apicoectomy is a microsurgical procedure performed to save a tooth when a standard root canal treatment has not been successful. Rather than removing the entire tooth, an apicoectomy targets the root tip (apex), removing infected tissue and sealing the root to prevent further complications. At Woodlands Oral and Facial Surgery, our highly trained oral surgeons perform apicoectomies with precision to preserve your natural smile and prevent future infections.

If you’ve undergone a root canal but continue to experience pain or infection, an apicoectomy may be the ideal solution to restore your oral health without resorting to tooth extraction.

While root canals are often highly effective, in some cases, infected tissue may remain or recur at the root tip. You may benefit from an apicoectomy if:

• Infection persists after a root canal
  
  
• A cyst or abscess has formed near the tooth root
  
  
• The root canal filling is too close to the end of the root
  
  
• The tooth has a complex root structure that was not fully treated
  
  
• You experience swelling, sensitivity, or gum irritation near a previously treated tooth

This procedure is typically considered a last effort to save a tooth before opting for removal and replacement options like single dental implants.

Apicoectomy is performed under local anesthesia or IV sedation for maximum comfort. During the procedure, our surgeon will:

1. Gently lift the gum tissue near the affected tooth to access the bone
   
   
2. Remove the infected tissue and the tip of the root
   
   
3. Clean the area thoroughly and use a small filling to seal the end of the root
   
   
4. Suture the gum tissue back in place to promote healing

Most patients experience minimal discomfort and return to normal activities within a few days. For faster recovery, we may utilize LPRF grafting techniques to promote natural healing and reduce inflammation.

At Woodlands Oral and Facial Surgery, your care is provided by board-certified specialists like Dr. Oscar Muñiz and Dr. Bernardo Roblesgil, who have years of experience in treating complex oral health issues. Our state-of-the-art facility uses the latest in intraoral imaging and 3D CT scanning to ensure accurate diagnosis and precise treatment planning.

For patients dealing with recurring infections, we also offer comprehensive evaluations to determine if additional treatment like a biopsy or tooth extraction is necessary.

FAQs About Apicoectomy

1. Is an apicoectomy the same as a root canal?: No. A root canal treats the inside of the tooth, while an apicoectomy targets the tip of the root to remove infection from the surrounding bone.
   
   
2. How long is the recovery period?: Most patients recover in 1 to 2 weeks, with minor discomfort managed by over-the-counter medication. Sutures are usually removed within a week.
   
   
3. Will I be sedated during the procedure?: Yes, we offer multiple sedation options including IV sedation to ensure your comfort throughout the process.
   
   
4. What happens if the apicoectomy doesn’t work?: If the infection persists, a tooth extraction may be necessary. We offer tooth replacement options such as dental implants.
   
   
5. Is the procedure painful?: The procedure itself is not painful due to anesthesia. Post-operative discomfort is generally mild and well controlled with medication.

Schedule Your Apicoectomy Consultation Today

If you’ve had a root canal but are still dealing with pain or infection, don’t wait. The team at Woodlands Oral and Facial Surgery is here to help you preserve your natural tooth and maintain your oral health with advanced surgical care. Schedule an appointment today!