Root-End MicroSurgery (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.

For more information about Apicoectomy / Root-End Microsurgery or to schedule a consult with Dr. Horalek, please use our Appointment Request form or call our endodontic office in Raleigh, NC at North Raleigh Endodontics Office Phone Number 919-256-3996.

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.

Apical / Root-End Surgery Illustrated

Illustration of Root-End Infection and need for Apicoectomy
1. Infected Tissue
Illustration of Apicoectomy / Root-End Microsurgery
2. Tissue Removed
Illustration of removed bone and tissue after Apicoectomy / Root-End Microsurgery
3. Suture Placed
Illustration of healed surgery site after Apicoectomy / Root-End Microsurgery
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: North Raleigh Endodontics Office Phone Number 919-256-3996. You may also ready our online instructions for after apical surgery.

Root-End Microsurgery Video

Please view the patient information video provided by the American Association of Endodontists to understand the apical or root-end surgical procedure. Call us for assistance, or to make an appointment: North Raleigh Endodontics Office Phone Number 919-256-3996.


Patient Reviews: Apicoectomy

This reviews section is in progress. Please visit the Patient Review form to leave a review about your root end / apical surgery experiences with Dr. Horalek and the Staff at North Raleigh Endodontics. Call our office if you would like more information: North Raleigh Endodontics Office Phone Number 919-256-3996.

North Raleigh Endodontics

5 out of 5 stars based on 4 Apicoectomy reviews

Patient Testimonial from Travis H

I would definitely return to Dr. Horalek's practice again should I need further dental care. Thanks for his efforts to save a bad tooth. Thanks to his staff, also

- Travis H

5 out of 5 stars on

Patient Testimonial from Dave C

Tony Horalek is a person that strives to do his very best in everything. He embraces the technology that will enable him to provide the best for his patients. That may cost him more but if he can provide a better experience it is worth it to him. I know I am in the best hands when I come to Tony Horalek. He does a superior job every time and enjoys having a capable team to back him up. Great experience!!

- Dave C

5 out of 5 stars on

Patient Testimonial from Shannon W

That was easy!

- Shannon W

5 out of 5 stars on

Patient Testimonial from Judy A

Actually had a very enjpyable visit. Will highly recommend to others

- Judy A

5 out of 5 stars on