If you've had a root canal but are still experiencing pain, tenderness, or infection near the treated tooth, an apicoectomy may be the solution to finally put an end to the discomfort. Designed for cases where conventional treatments are no longer effective, this advanced microsurgical procedure targets the root’s tip to preserve your natural tooth and prevent the need for extraction. 

At Relieve Root Canal Specialists in San Diego, Dr. Ronak Makadia combines advanced technology with gentle, patient-focused care to make this procedure as comfortable and effective as possible.

What Is an Apicoectomy?

An apicoectomy, also known as a root-end surgery, is performed when inflammation or infection persists in the bony area around the end of your tooth after a root canal treatment. Rather than retreating the entire canal, the endodontist removes the tip (apex) of the root and seals the tooth to prevent further complications. Key aspects of an apicoectomy include:

• Targeted Treatment: The procedure focuses on a very small area, helping minimize overall disruption to the tooth.
• Preservation-Based: It allows patients to keep their natural tooth instead of resorting to extraction and replacement.
• Microsurgical Precision: At Relieve Root Canal Specialists, Dr. Makadia uses advanced microscopy and tools like the GentleWave system to increase accuracy and reduce healing time.

When Would You Need an Apicoectomy?

Not every root canal failure requires an apicoectomy, but it’s often recommended when retreatment is not possible or has already been unsuccessful. Common reasons why an apicoectomy may be necessary include:

• Persistent pain or swelling after a root canal
• A blocked root canal that cannot be cleaned through retreatment
• Fractures or calcium deposits obstructing access to the root tip
• Infection or cysts at the root’s apex

Dr. Makadia evaluates every patient individually, offering honest, clear guidance to help you make the most informed decision for your oral health.

What to Expect During the Procedure

Despite sounding complex, an apicoectomy is a straightforward outpatient procedure. Thanks to Dr. Makadia’s focus on patient comfort and the use of sedation options and technology-enhanced techniques, many patients find the experience far less daunting than anticipated. Here’s a general overview:

• The procedure begins with local anesthesia or sedation to help ensure comfort.
• A small incision is made in the gum to access the root’s tip.
• The infected tissue and root tip are removed, and the end of the root is sealed.
• The area is cleaned and sutured for proper healing.

Advanced tools like digital imaging and microscopes aid in precision, reducing disruption to surrounding tissue and speeding up recovery. Dr. Makadia’s use of the GentleWave system also means a more thorough cleaning with less invasiveness, which is a major comfort advantage for patients.

Apicoectomy Recovery and Results

Postoperative recovery from an apicoectomy is usually smooth, especially under the care of a conscientious and experienced endodontist like Dr. Makadia. While some minor swelling and tenderness are normal for a few days, these symptoms are typically manageable with over-the-counter pain relievers. Here’s what you can expect at Relieve Root Canal Specialists: 

• Same-day check-ins and emergency availability if discomfort arises
• Clear aftercare instructions with compassionate support every step of the way
• A healing-first philosophy that centers your comfort and peace of mind

Most patients experience a significant improvement in symptoms and are able to return to normal activities within a few days. However, it will take several months for the site to heal completely.

Schedule Your Apicoectomy Consultation in San Diego

If you're experiencing ongoing dental pain or complications after a root canal, don't wait to get the relief you deserve. Dr. Ronak Makadia at Relieve Root Canal Specialists in San Diego offers professional, compassionate care backed by cutting-edge technology designed to preserve your tooth and ease your stress. Call (858) 868-5501 today to schedule a same-day appointment or virtual consultation and take the next step toward lasting comfort and healing.