Expert Endodontic Microsurgery
When traditional root canal treatment or retreatment isn’t sufficient to save a tooth, endodontic surgery (apicoectomy) provides a solution. Dr. Jason Phan performs minimally invasive microsurgery using surgical microscopes and modern techniques that maximize success while minimizing discomfort.
Success Rate
Minutes
Days Recovery
What is Apicoectomy?
Think of it as a "root canal from the outside" when traditional treatment from the inside isn't possible.
Access root tip through gum
Remove infected root tip
Clean canal end
Seal with biocompatible material
Close tissue with sutures
When Surgery is Needed
Traditional Treatment Limitations
- ✓ Persistent infection after root canal/retreatment
- ✓ Calcified canals inaccessible from crown
- ✓ Blocked canals (posts, instruments, curvature)
- ✓ Complex anatomy unreachable conventionally
Anatomical Challenges
- ✓ Root tips near sinuses or nerves
- ✓ Unusual root curvatures/dilacerations
- ✓ Accessory canals near root tip
- ✓ Root resorption or abnormal development
Our Minimally Invasive Approach
25x Microscopy
Enhanced visualization, smaller incisions, precise tissue removal
3D Planning
CBCT imaging for optimal surgical approach and precision
Ultrasonic Prep
Ideal canal preparation, minimal structure removal
MTA Sealing
Biocompatible cement stimulates bone healing
Recovery Timeline
Peak swelling, mild discomfort. Ice packs, soft foods, prescribed medication.
Significant improvement. Suture removal appointment, return to normal diet.
Return to normal function. Soft tissue healing complete.
Bone regeneration. Follow-up X-ray confirms healing.
Apicoectomy vs. Extraction
| Factor | Apicoectomy | Extraction + Implant |
|---|---|---|
| Preserves Natural Tooth | Yes | No |
| Cost | $800-$1,500 | $3,500-$6,000 |
| Recovery Time | 2-3 days | 3-6 months (implant integration) |
| Maintains Bone | Yes | Requires bone graft |
| Return to Function | Within days | Several months wait |
Complex Cases We Handle
Calcified Canals
Access canal from root end when mineralization blocks crown access
Cracked Teeth
Microscopy identifies and evaluates cracks during surgery
Separated Instruments
Resolve complications from previous dental work
Schedule Your Surgical Consultation
If your dentist has recommended apicoectomy or you have persistent symptoms after root canal treatment, contact us for a consultation. Dr. Phan will evaluate your tooth with 3D imaging and discuss whether endodontic surgery is the right option.
Modern surgical techniques. Specialist expertise. Best chance for long-term success.