Endodontic Microsurgery (Apicoectomy) at APX Endodontics

Endodontic Microsurgery involves specialized techniques designed to address issues that cannot be resolved with conventional non-surgical root canal treatments. During the procedure, we use a high-powered microscope and specialized micro-surgical instruments to access the root of the tooth through a small incision in the gums. We carefully remove any infected tissues and seal the area to promote healing and prevent future infection. This targeted approach allows us to save teeth that might otherwise need extraction.

Endodontic microsurgery allows us to treat the problem area directly through the gums, leaving your existing restorations like crowns or fillings intact. This gives your tooth a second chance when non-surgical retreatment isn't feasible or has a less predictable prognosis due to complex anatomy, canal obstructions, or other factors. Additional benefits include:

• Detect and treat hidden problems - Our high-powered microscope lets us examine the root surface directly and spot tiny fractures, calcified canals, resorption, and other issues that might not show up on X-rays. This allows us to treat them effectively.
• Eliminate persistent infection - Direct surgical access allows us to remove any infected or damaged tissue and seal the area to prevent reinfection.
• Heal faster - Targeted treatment and infection removal result in less discomfort and a speedy recovery.
• Keep your natural tooth - Maintain your smile, bite, and chewing function while avoiding the need for extractions, implants, or bridges.

At our specialized endodontic practice, achieving clinical excellence and protecting your long term dental health are our top priorities. When deep tooth decay, severe tooth damage, or cracked teeth allow oral bacteria to invade, the resulting bacterial infections can inflame the delicate tooth pulp and internal tissue. If left untreated, these tooth infections can cause intense dental pain and severe pain that threaten the stability of the affected tooth. Whether you are dealing with a sudden dental emergency or require endodontic treatment for an infected tooth, our skilled team is ready to provide prompt care to relieve discomfort and protect against further damage.

During your procedure, we apply a comfortable local anesthetic and place a hygienic protective sheet (dental dam) to keep the area clean and isolated. We gently remove the infected pulp and treat any inner tooth damage, using precise techniques to seal the canals and prevent complications. For added comfort, we offer relaxed sedation options to ensure you feel at ease throughout care. While root canal therapy successfully saves teeth in most cases, we also specialize in complex cases that require endodontic retreatment to address persistent issues, remove new decay, or preserve severely damaged teeth.

To complete your treatment and ensure lasting dental health, a temporary filling is placed until your final visit, where your general dentist will place a durable permanent restoration. Proudly serving the Cambridge area, we are dedicated to saving your natural smile and restoring your comfort. Contact us today for gentle, expert care!

Our team specializes in advanced microsurgical procedures designed to save your natural tooth when conventional non-surgical treatments aren’t enough.

Endodontic Microsurgery (Apicoectomy): Sometimes treating persistent infection or inflammation requires a surgical approach, especially when going back through the crown isn't a viable option due to posts, crowns, or complex anatomy. Microsurgery gives us direct access to the problem area. We make a small incision in the gums, remove infected tissue and the root tip where bacteria hide, and seal the root canal to help promote healing.

Resorption Repair: Resorption occurs when your body mistakenly starts breaking down your own tooth, treating it as if it’s something foreign. This can be triggered by trauma, orthodontic treatment, infection, or other factors and if left unchecked, it can lead to tooth loss. The good news? If we catch it early, we can stop it. Using high-powered magnification and microsurgical techniques, we access the area, treat the affected tissues, and restore the tooth structure. Our goal is simple: halt the resorption and save your tooth.