Apicoectomy in Boston, MA

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What is Apicoectomy?

The goal of a root canal is to fully remove an infection from your tooth, but sometimes, the tooth roots may have many small branches where bacteria remain or return. If your tooth is still infected or gets another infection after your root canal therapy, Downtown Dental Partners – Boston, MA, may suggest an apicoectomy. This long-lasting solution takes out the infected gum tissue near the root of the tooth, plus the infected root tip(s). Sometimes referred to as a root-end resection or endodontic microsurgery, an apicoectomy can save the visible area of your tooth if you have a bridge or crown. If you have had one or more root canals, contact our office to find out how an apicoectomy could help you.

Do I Need an Apicoectomy?

You may qualify for an apicoectomy if you have had one or more root canals, but the infection has remained or returned in the tips of the tooth root. When you have a root canal procedure, a bridge or crown is usually placed to protect and strengthen the treated tooth, which can make another root canal or retreatment challenging if an infection is found. If you have a restoration, an apicoectomy at Downtown Dental Partners – Boston, MA, can be the best treatment to eliminate the existing infection, prevent other infections from occurring, and maintain your oral health.

What to Expect From an Apicoectomy

During your consultation, we will assess your oral health and go over your treatment options before selecting an apicoectomy. For the actual procedure, local anesthesia will be administered for your comfort. Sedation options can be added, depending on the extent of your procedure or if you have dental anxieties and fears. We will start by making an incision in your gum tissue to expose the root of your tooth. Any infected tissue and root tip(s) will be addressed, then the area will be cleaned using special instruments. To ensure the infection is completely removed, a dental dye will be used to highlight cracks in your tooth. After your tooth is cleaned and sealed, we will close the incision in your gums with stitches.

Recovering From Apicoectomy

Following an apicoectomy, we may write you a prescription for pain medication or antibiotics to aid in the healing process. You may experience some bruising, numbness, or soreness for several days. You can use cold compresses to minimize inflammation for the first day following your treatment. Someone from our team will go over instructions for your recovery period. While you are healing, you need to avoid hard foods and aggressive teeth cleaning. You may need to come back in a few days after your apicoectomy to get your stitches removed. Typically, your gums and teeth should be healed after about two weeks. To minimize future problems, you should follow a rigorous home oral care routine with frequent brushing and flossing. In addition, be sure to schedule yearly dental exams and biannual professional cleanings at Downtown Dental Partners – Boston, MA, so we can monitor your dental health and address issues at the earliest signs.

Insurance Coverage for Apicoectomy

An apicoectomy is usually covered in part by your dental insurance. Our team will contact your insurance provider to find out what is covered and if there will be any personal costs. At Downtown Dental Partners – Boston, MA, we accept many payment methods to make getting quality care easier. During your initial consultation, feel free to ask for information on low-interest medical financing to help make your treatment fit into your budget better.


If you still getting infections after having one or several root canal therapies, an apicoectomy at Downtown Dental Partners – Boston, MA, may be an effective solution. An apicoectomy treats infections in the tips of tooth roots without impacting dental restorations, like bridges and crowns. To find out more or to make an appointment for a consultation, contact our office.

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