What is an Apicoectomy treatment?

Apicoectomy? What the heck is that? Time to learn about some endodontic procedures that can help save your natural teeth.


In short, an apicoectomy is a form of endodontic therapy where the endodontist needs to make an incision on the gums in order to gain access to the infected tooth’s roots and remove the infected tip of a root canal treated tooth (along with the infected tissue). The removal of the infection makes it stop in its tracks and prevents it from going on to affect the surrounding tissues.

An apicoectomy is usually indicated when there was a pervious root canal in the past and the tooth gets re-infected. Some common reasons that a root canal treatment didn’t work would be:
• Teeth that have unusual roots
• Other root channels that cannot be cleaned
• Cysts around the tooth
• A fractured or cracked tooth

Apicoectomies are performed under local anesthesia and in certain cases nitrous oxide is offered so that the procedure is performed with minimal discomfort.Following the procedure, there may be some discomfort or slight swelling while the surgical site heals, like any other surgical procedure. To alleviate any discomfort, appropriate pain medications will be prescribed. An apicoectomy is a commonly practiced procedure that is used in endodontics, so it is nothing to be nervous about.

Dr. Misra – Sauparn is a skilled endodontic professional who has performed several apicoectomies. Our team at Specialist Care Endodontics wants to make sure you get the proper care for your teeth. The procedure will be done in a quick and efficient manner (approximately 30 to 90 minutes). We do offer both local anesthesia and nitrous oxide for the procedures we perform in our office to help our patients have a pleasant dental experience. We normally have emergency same – day appointments available as well as flexible scheduling to get you in as soon as you can.


The only option to get around apicoectomies would be extraction of the tooth, but the new implanted tooth will not be your natural tooth. A consultation with your endodontist can help with the decision-making process.

If you have any additional questions or concerns and to book an appointment contact the office of Dr. Misra – Sauparn at Specialist Care Endodontics (703) 650-9990.

About us: Specialist Care Endodontics is an endodontic practice that is a top pick for general dentists to refer patients in need of root canals and apicoectomies. We are an endodontic specialist serving the northern Virginia area in Woodbridge and Vienna (Close to Tysons Corner). We accept most insurances and do a verification of your benefits before your appointment. We are open Monday – Friday from 8am to 6pm and have Saturday appointments available by request, booking is available online and over the phone. We look forward to hearing from you!