Apicoectomy

Why would I need Endodontic Surgery?

Generally, a root canal is all that is needed to save teeth with injured pulp from extraction. Occasionally, this non-surgical procedure will not be sufficient to heal the tooth and your endodontist will recommend surgery. Endodontic surgery can be used to locate fractures or hidden canals that do not appear on x-rays but still manifest pain in the tooth. Damaged root surfaces or the surrounding bone may also be treated with this procedure. The most common surgery used to save damaged teeth is an apicoectomy or root-end resection.

What is an Apicoectomy?

The video on the right illustrates this simple procedure. An incision is made in the gum tissue to expose the bone and surrounding inflamed tissue. The damaged tissue is removed along with the end of the root tip. A root-end filling is placed to prevent reinfection of the root and the gum is sutured. The bone naturally heals around the root over a period of months restoring full function.


1. Infected Tissue

2. Tissue Removed

3. Suture Placed

4. Healing Complete

Following the procedure, there may be some discomfort or slight swelling while the incision heals. This is normal for any surgical procedure. To alleviate any discomfort, an appropriate pain medication will be recommended. If you have pain that does not respond to medication, please call our office.

Associated Dental Specialists

5 out of 5 stars based on 16 Apicoectomy reviews.

Our Latest Patient Testimonial

Good experience, I would recommend to others.

- Daniel S

5 out of 5 stars on

Our Latest Patient Testimonial

Would defiantly recommend to friends and family.

- John S

5 out of 5 stars on

Our Latest Patient Testimonial

Very good experience so far

- Deborah P

5 out of 5 stars on

Our Latest Patient Testimonial

Great service! The staff took the time to discuss all parts of the procedure with me.

- Michelle M

5 out of 5 stars on

Our Latest Patient Testimonial

I was so worried about getting this procedure done. My dentist referred me to ADS-Endo, and I chose the Robinson office after reading reviews online. Dr. Hand was amazing. I had been so nervous, and after learning about his experience and expertise I was ready to go. Dr. Hand and his assistants explained everything that they were doing, and I'm actually so excited now to finish healing and to no longer be in pain. I had been through dentists that ignored my pain for years, and when I finally made it to ADS-Endo they were so caring and patient that I would be glad to have them do any procedures I need in the future. THANK YOU SO MUCH!

- Cathy F

5 out of 5 stars on

Our Latest Patient Testimonial

They worked with my schedule and made it as easy as possible for the procedure.

- Brandon S

5 out of 5 stars on

Our Latest Patient Testimonial

Bring a seasoned dental patient, I've had MANY procedures. This is my second apico and first from dr hand. Wow. Knowledgeable, kind and skilled. Period!

- Bruce L

5 out of 5 stars on

Our Latest Patient Testimonial

After having 5 root canals performed by a doctor at Associated Dental who is no longer there, I was nervous to have an apicoectomy performed by a doctor I had never met! But after my initial consultation with Dr. Hand and subsequent surgery, I was extremely satisfied with my experience. Cloe, Dr. Hand's assistant, was kind and understanding of my concerns, and the surgery was pain free and easier than I had anticipated. I highly recommend Dr. Hand who was professional and caring and his calm demeanor helped with my anxiety.

- Beverly S

5 out of 5 stars on

Our Latest Patient Testimonial

Dr Braga performed an apicoectomy on a retreated root canaled molar from 30 years ago. I worked in the dental field for 30 years so can recognize & appreciate excellent dental care. Dr Braga was amazing. I was very impressed & satisfied. Wonderful bedside manner & made me feel very comfortable. She even personally called to check on me on a holiday as she knew the girls weren't in the office. I have already passed her name on to my neighbor and friends.

- Donna R

5 out of 5 stars on

Our Latest Patient Testimonial

Dr Hand took time to explain the procedure and was very efficient. Hardly and discomfort or pain. The assistants were also very good and attentive.

- John E

5 out of 5 stars on

Our Latest Patient Testimonial

I have already referred your practice to a friend.

- Rowena P

5 out of 5 stars on

Our Latest Patient Testimonial

The doctor and staff provided excellent care

- Guy D

5 out of 5 stars on

Our Latest Patient Testimonial

I felt completely at ease having this procedure done at the facility.

- Gretchen G

5 out of 5 stars on

Our Latest Patient Testimonial

Not only are the staff and doc courteous but they are very gentle and kind. They did a great job and the procedure went very well.

- Lynn O

5 out of 5 stars on

Our Latest Patient Testimonial

My experience could not have been better. Dr. Hand is a great Endonist. He made me feel very comfortable and confident. The surgery went very well from my prospective. I did not have any problems with my recovery. Slight discomfort and minimal swelling which I expected. I had my follow up visit and Dr. Hand advised that I am healing nicely. I owe it all to Dr. Hand.

- Gerry W

5 out of 5 stars on

Our Latest Patient Testimonial

Very impressive. I felt my comfort was a priority to the staff and especially the doctor. She made me feel very comfortable, offered explanations and exhibited herself to be very skillful. All in all an A+ experience.

- Carol S

5 out of 5 stars on