
Apicoectomy
Been told your tooth needs to come out? There may still be one more option.
An apicoectomy is a microsurgical procedure that can save your tooth when other treatments haven't worked. It is a specialized procedure that endodontists are specifically trained and equipped to perform.

Apicoectomy
Been told your tooth needs to come out? There's one more option to try.

Apicoectomy
Been told your tooth needs to come out? There may still be one more option.
An apicoectomy is a microsurgical procedure that can save your tooth when other treatments haven't worked. It is a specialized procedure that endodontists are specifically trained and equipped to perform.
Most patients are surprised: "That's it?" Your mouth stays comfortably closed the whole time.
Most patients are surprised: "That's it?" Your mouth stays comfortably closed the whole time.
Most patients are surprised: "That's it?" Your mouth stays comfortably closed the whole time.
Getting to the source of the problem from a different angle
Instead of going through the tooth like a root canal, we make a small incision in the gum to access the tip of the root where the infection is.
Getting to the source of the problem from a different angle
Instead of going through the tooth like a root canal, we make a small incision in the gum to access the tip of the root where the infection is.
You might need this if...
Had a root canal or retreatment but still having problems? The issue might be at the very tip of the root—a spot regular treatment can't reach.
Swelling or pain after root canal treatment
Dark spot on X-ray that won't heal
Dentist says "extraction is your only option"
You might need this if...
Had a root canal or retreatment but still having problems? The issue might be at the very tip of the root—a spot regular treatment can't reach.
Swelling or pain after root canal treatment
Dark spot on X-ray that won't heal
Dentist says "extraction is your only option"
How this is different
A root canal and retreatment work from the inside of your tooth. An apicoectomy works from the outside.
Remove infection directly at the source
Clean out cysts and inflamed tissue
Seal the root tip permanently
How this is different
A root canal and retreatment work from the inside of your tooth. An apicoectomy works from the outside.
Remove infection directly at the source
Clean out cysts and inflamed tissue
Seal the root tip permanently

Our Process
How it works
Three simple steps. Comfortable. Predictable healing.
Get comfortable
Local anesthesia is administered to fully numb the area. Your mouth stays closed throughout the entire procedure.
Precise treatment
A small incision is made in the gum. The infected tissue and the root tip are carefully removed, the area is cleaned thoroughly, and the root is sealed with a bioceramic material.
Sutures and healing
The incision is closed with sutures-- either dissolvable or removable, depending on your preference. We will then see you back in 6 months to assess healing.

Our Process
How it works
Three simple steps. Comfortable. Predictable healing.
Get comfortable
Local anesthesia is administered to fully numb the area. Your mouth stays closed throughout the entire procedure.
Precise treatment
A small incision is made in the gum. The infected tissue and the root tip are carefully removed, the area is cleaned thoroughly, and the root is sealed with a bioceramic material.
Sutures and healing
The incision is closed with sutures-- either dissolvable or removable, depending on your preference. We will then see you back in 6 months to assess healing.

Our Process
How it works
Three simple steps. Comfortable. Predictable healing.
Get comfortable
Local anesthesia is administered to fully numb the area. Your mouth stays closed throughout the entire procedure.
Precise treatment
A small incision is made in the gum. The infected tissue and the root tip are carefully removed, the area is cleaned thoroughly, and the root is sealed with a bioceramic material.
Sutures and healing
The incision is closed with sutures-- either dissolvable or removable, depending on your preference. We will then see you back in 6 months to assess healing.

Centennial Endodontics
Could this save your tooth?
Could this save your tooth?
If you're dealing with a failing root canal or have been told your tooth needs to come out, see our doctor first.
If you're dealing with a failing root canal or have been told your tooth needs to come out, see our doctor first.

FAQs
Apicoectomy FAQs
Your Root Canal Journey at Greeley Endodontics:
Comfort & Precision
We want you to feel confident and informed about your care. Here are answers to some of the most frequently asked questions about this microsurgical procedure.
Your well-being is our top priority. Dr. Koh and our team utilize advanced techniques and state-of-the-art technology to ensure your root canal treatment is as smooth, precise, and pain-free as possible.
What is the long-term success rate for an apicoectomy?
The news here is excellent. Because a microsurgical apicoectomy allows us to directly access and eliminate the parts of the tooth where most issues occur, the success rates are very high—in the high 90th percentile. It's a definitive solution for complex cases.
What is the downtime like after an apicoectomy?
Can you explain how an apicoectomy is performed?
What issues make an apicoectomy the necessary choice?
My previous root canal failed. Why is a surgical apicoectomy a better solution than another re-treatment?
Can you explain how an apicoectomy is performed?
An apicoectomy is very different from a root canal. Instead of working through the biting surface of your tooth, we approach the root directly through the gums at its base. A major benefit for you is that your mouth remains closed and comfortable throughout the procedure. It is a more direct, efficient, and often more comfortable way to treat persistent infections.