Apicoectomy

When a Root Canal Needs a Little Backup

Most root canals succeed the first time—but in rare cases, infection can return or persist at the tip of the root. That’s where an apicoectomy comes in. Also known as a root-end surgery, this advanced procedure removes the infected tip of the tooth’s root to eliminate infection and preserve the tooth structure above it.

At Smile, Co., we offer apicoectomy treatment with precision, comfort, and clarity, using digital diagnostics, modern surgical tools, and a gentle, judgment-free approach.

What Is an Apicoectomy?

An apicoectomy is a minor oral surgery that removes the tip of a tooth’s root (apex) along with any surrounding infection. It’s typically recommended when:

• A root canal treatment hasn’t fully resolved an infection
  
• Infection returns months or years after a root canal
  
• A re-root canal is not possible due to structural or restorative limitations
  
• The area around the root tip shows signs of bone loss or inflammation
  

By cleaning out the infection at its source and sealing the root tip, we can give your natural tooth a second chance—without needing an extraction or implant replacement.

When Do You Need an Apicoectomy?

Your provider may recommend this procedure if you’re experiencing:

• Persistent pain or sensitivity in a tooth with a prior root canal
  
• Swelling or tenderness in the gums near a treated tooth
  
• A pimple-like bump (fistula) on the gums
  
• Evidence of infection or bone loss on a dental X-ray
  

We’ll use 3D digital imaging and diagnostic tools to evaluate the area and confirm whether apicoectomy is the best next step.

What to Expect During the Procedure

1. Consultation + Imaging
   We assess the area using digital X-rays or CBCT scans to determine the size and location of the infection.
   
2. Local Anesthetic or Sedation
   You’ll be kept comfortable and pain-free with local anesthetic. We also offer sedation options for added relaxation.
   
3. Surgical Access
   A small incision is made in the gum near the tooth root to access and remove the infected tip and surrounding tissue.
   
4. Cleaning & Sealing
   The area is disinfected, the root tip is sealed with a biocompatible material, and the gums are sutured closed.
   
5. Healing & Follow-Up
   Healing typically takes a few weeks. We’ll schedule a follow-up to ensure complete recovery and provide ongoing support.
   

Why Choose Smile, Co. for Apicoectomy?

We understand that surgery—especially involving previously treated teeth—can be stressful. That’s why we focus on making every part of your experience as smooth, transparent, and calming as possible.

• Advanced diagnostics for precise treatment
  
• Skilled oral surgery with a gentle touch
  
• Warm, welcoming environment
  
• Options for local or sedated care
  
• Clear explanations and no-pressure decision-making
  

Located in Tampa Palms, we proudly care for patients across Tampa, Hunters Green, and Pebble Creek who need specialty care in a familiar, supportive setting.

After Apicoectomy: Long-Term Outlook

With proper care, an apicoectomy can:

• Eliminate chronic infection
  
• Prevent the need for extraction or tooth replacement
  
• Preserve your bite, bone structure, and surrounding teeth
  
• Relieve pain and restore confidence in your smile
  

If you’ve already invested in a root canal and crown, an apicoectomy may be your best chance to protect that investment and save your natural tooth.

Insurance & Financial Options

Many dental insurance plans cover apicoectomy when medically necessary. We’ll help you understand your coverage and offer financing options to make treatment accessible. Our upcoming membership program will also include discounts and support for surgical care and follow-ups.

Save the Tooth. Skip the Stress.

You don’t have to lose your tooth—or worry about complex treatment decisions alone. Smile, Co. will walk you through every step of your apicoectomy treatment with clarity, comfort, and care.