Endodontic Surgery

In some cases, root canal therapy alone cannot save a tooth, and our doctors may suggest surgery.

While there are many endodontic surgeries, the most common is an apicoectomy. Also known as a root-end resection, an apicoectomy literally means the removal of the apex of the root of the tooth. This procedure, done following a root canal, treats the bony area surrounding the end of your tooth, which has become inflamed or infected. By folding back the gum near the tooth, our doctors can access the underlying bone and extract the inflamed tissue. At the same time, the very tip of the root is removed and usually replaced with a small plug or filling. At this time, your doctor may treat the area with antibiotics and will then close the area with a small suture. Eventually, the jaw surrounding the tooth will fill in with bone, supporting the tooth as before. This procedure helps ensure the lasting result of your endodontic treatment.

Other endodontic surgeries include:

  • removing one or more roots
  • dividing a tooth in half
  • repairing an injured root

In addition, an intentional replantation may be performed. During this procedure, which is reserved for complex cases, the tooth is extracted. Endodontic treatment is then performed on the tooth while it is outside the mouth. After treatment, the tooth is placed back in the socket.

Reasons for Endodontic Surgery

Endodontic surgery can help save a tooth in several instances:

  • Surrounding bone root surfaces are damaged.
  • To diagnose problems, such as small fractures or root canals that do not appear on an X-ray, and are not recognized during root canal therapy.
  • Used alone or in conjunction with endodontic retreatment.

Alternatives to Endodontic Surgery

In general, the only alternative is tooth extraction. The extracted tooth must be replaced with a crown or other restoration, and thus this alternative will be much more expensive and time consuming.

4.7

Based on 26 reviews

Rachel C.
I have been going to Park South Dentistry for the last few years and I can say that everyone in the office is extremely nice. The front desk staff are always super friendly and helpful, they make coming in a pleasure. The dental staff and dentists are also incredibly nice and make sure to take great care of their patients. If you have any questions or concerns, they are happy to explain and make you feel as comfortable as possible. I have never been a huge fan of going to the dentist and often come in nervous but I always leave happy and know that I had excellent dental treatment. It is a great office and I will be returning for as long as they will have me :-)
ANGELA P.
Dr. Janesh and Dr. Patel are amazing! This is the best dentist office I have ever been too, and I've been to several because I am very particular about my dental experience. Their staff is so warm, welcoming, accommodating, and knowledgeable. The dentists don't hurry you out of the seat, they actually take time to listen and explain the procedures and options. I've recommended 2 friends to them and they too love this office. I highly recommend Park South.
Clayton P.
Two years ago I moved to New York City from Iowa. My daughter recommended this dentistry. They have been extremely professional, caring, and fast. Teeth cleaning is a breeze. Cavities are taken care of quickly and well. I'm always amazed at how fast I'm out of the office, and I never feel rushed. Everyone is extremely helpful and personable and thorough, yet everything happens very quickly.
Kathy A.
Thus far the best staff I have ever encountered! And Dr Janash is a blessing! Simi & Eseeda answered all of my insurance questions (without confusing me!). Had my now pearly whites cleaned and polished, and filled my cavity - all in one visit! I will never be worried about seeing the dentist again with a staff at Park South Dentistry! Thanks guys! See you all in 6 months J
Kyle S.
I have been going to Park South Dentistry for over 6 years and I'm very happy with the experience. I've had cavities filled / replaced and been fitted for a night guard during that time, and I've always found the staff professional and pleasant to deal with. The only knock I can think of is that their building needs twice the amount of elevators that it has (and they're at floor 13 of 14), so make sure to budget a few extra minutes to get to and from your appointment.
Fabio O.
I had my first appointment at Park South last week and I have to say I couldn't be more happy. Scheduling my appointment was seamless and convenient, the front desk was extremely nice and Dr. Patel was very thorough. I have bad memories from my home town dentist but Park South totally changed the way I feel about going to the dentist, looking forward to coming back every 6 months for my cleanings!
James S.
Park South Dentistry has been my go to dentist for a few years now. They have very friendly staff and top notch dentists and technicians. I started and have had some minor dental work completed and also twice a year cleanings. I very highly recommend this office!
Ben T.
I've been a patient of PSD and both Dr. Janash and Patel for nearly 10 years. In a city where MANY of my friends have experienced dentists pressuring them to get questionably necessary work done, Dr. Janash and his staff have always taken a more passive approach. In nearly a decade of care I have always felt informed and cared for. A stellar example of that was when a crown came undone three days before I was leaving the country for my wedding. Dr. Janash (who had JUST had a baby) came in on a Saturday when the office was closed for a repair. Opened the office just for me and reattached the crown. This is the attention to detail, service and care you'll get at PSD, which extends from the dentists to the hygienists to the front desk where Simi greets you with a smile each and every time you arrive.