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Endodontic Surgery & Apicoectomy – Tacoma, WA

Precise Procedures with a Gentle Touch

Smiling woman at endodontic office

Even though root canal therapy has a success rate of over 95%, there are times when it may not be enough. If an infection has reached the roots of your tooth and is starting to affect adjacent tissues, you might need a type of endodontic surgery called an apicoectomy. At South Sound Endodontics, Dr. Olsson and our team will use friendly care and one of multiple sedation options to help you enjoy a stress-free experience while undergoing endodontic surgery and apicoectomy in Tacoma, WA. Contact our practice today to schedule a consultation.

Why Choose South Sound Endodontics for Endodontic Surgery & Apicoectomies?

  • Save Your Tooth and Protect Your Overall Health
  • Nitrous Oxide, Oral Conscious Sedation, and IV Sedation Available
  • Experienced, Caring Endodontist

What is an Apicoectomy?

Animation of Apicoectomy treatment process

The roots of your teeth connect them to the jawbone. If an infection in the pulp works its way to the roots, it could spread into the surrounding bone tissue, destroying it and ultimately causing tooth loss as well as contributing to other health issues.

An apicoectomy is an endodontic procedure to remove an infection that is affecting the roots of the tooth as well as the surrounding area. It’s often used when traditional root canal therapy fails to fully remove the bacteria or debris from the original infection. This procedure is also similar to root canal therapy in that it saves the tooth from extraction and relieves your dental pain.

How Does an Apicoectomy Work?

After we’ve examined your damaged tooth and evaluated your dental health overall, we can schedule an apicoectomy. Before the surgery, we’ll need to discuss any past surgical treatments you’ve had and any current medications you’re taking; this is to avoid complications. We’ll give you specific instructions to prepare for the procedure.

On the day of the surgery, we’ll numb the treatment area and use dental sedation as needed to help you remain calm and comfortable. Dr. Olsson will create a small incision in your gums and remove small amounts of bone tissue, exposing the affected area. An opening will be made in the roots, and the infection will be removed. After that, the area will be cleaned and thoroughly irrigated; the tooth will then be filled and sealed. The gum tissues will then be closed with sutures. It should normally take a few months for the bone to heal around the end of the root.

Animation of treatment process with descriptive notes

What is Recovery Like?

Relaxed woman receiving endodontic surgery

Once the medication wears off, you might notice some discomfort, but it’s usually mild enough to be easily controlled with over-the-counter medication. Any swelling should only be temporary. If the pain becomes severe or if the swelling isn’t gone after two weeks, call us right away.

Aftercare for an apicoectomy is actually much easier than tooth extraction recovery. You’ll need to be careful while brushing so as not to disturb the treatment site. Also, rinsing, smoking, and eating hard, crunchy foods should be avoided altogether for at least a few days. You should have fully recovered after about 14 days, although your jawbone will still need much more time to completely heal.