Apicoectomy New York City– Microsurgical Endodontic Overview

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.

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.

NY Endodontics & Implantology

5 out of 5 stars based on 7 Apicoectomy reviews

Our Latest Patient Testimonial

Dr. Roth left his family vacation and drove 2 hours back to NYC to help me with my severe tooth pain. I wasn't even a patient of his!!! He was covering for my dentist at the time!!! He was so sincere, kind and obviously knew exactly what he was doing. Who leaves their vacation to help a stranger???!! And he did it with a smile!!! Can't say enough good things about Dr. Roth. He's amazing and loves what he does and genuinely cares about people. Love him to pieces. Thank you Dr. Roth. You gave up your vacation to help me. Enough said. Recommend to EVERYONE.

- A S

5 out of 5 stars on

Our Latest Patient Testimonial

After two root canal procedures....Bottom line: Dr. Roth is my hero! First of all, his demeanor and compassionate manner immediately instill confidence, and his expertise in my opinion is unsurpassed. He identified, relieved, and resolved my (excruciating) dental pain quickly and efficiently. Also, his experienced staff provide excellent follow-up to insure success at all levels.

- Ron W

5 out of 5 stars on

Our Latest Patient Testimonial

Amazing is the best way I can describe Dr. Roth and his entire staff. Having had multiple root canals in the past, I can tell you that when my dentist told me I needed another one due to an infection below the tooth, I was devastated at the prospect of having another. And I basically put off going to see a specialist until my infection had become so bad that I was no longer able to eat. I received a referral from a friend who had seen Dr. Roth and I will tell you that my experience with Dr. Roth has resulted in eliminating all my fears of seeing the dentist. Dr. Roth and his staff took the time to explain exactly what I should expect and although I was skeptical when he told me that his office was a painless one, after having gone through the first part of my procedure, I can unequivocally state that my experience was truly a painless one. I highly recommend Dr. Roth to anyone who, like myself, has a fear or anxiety over going to the dentist. My experience with Dr. Roth has eliminated almost any fear and anxiety I previously had. Thank you Dr. Roth and staff.

- Antonio V

5 out of 5 stars on

Our Latest Patient Testimonial

After a nightmarish experience with another dentist, Dr. Roth made time to see me, relieved my pain, was kind, professional, efficient -- after my poor treatment at the hands of another dental office, his good humor, patience, and professionalism were an extraordinary comfort. He was honest about my dental needs, the procedures, and the possible outcomes. I felt that he was extremely trustworthy, and I appreciated his office and dental staff, who worked with me to ensure that I got the emergency treatment I required, without bankrupting me or throwing me into financial chaos. They followed up with me every day for a number of days, and I felt sincerely cared for. I will recommend Dr. Roth to anyone who needs dental care.

- Moira M C

5 out of 5 stars on

Our Latest Patient Testimonial

Dr. Roth is my hero. I am a veteran of multiple dental treatments--extensive treatment after a fairly serious injury (multiple surgeries, bone grafts, serious bridge work), repair of broken teeth after a fall from a horse (I am not lucky with my teeth), plus all the usual treatments--cavities, root canals--that add up over a lifetime. So I know what I am talking about dentist-wise. Dr. Roth came extraordinarily well-recommended from top dentists, dental professors, and professional groups, and the work he did on me gets raves from my other dentists (perio, prostho)--and me too. Dr. Roth is a dream dentist, with an exquisite touch and the nicest, easiest, most confidence-inspiring manner you can imagine. Painless ( a numbing ace, I hate that palate thing and it didn't hurt (I hate that palate thing)), a short and on-time appointment, a belief that a patient should feel no pain, and nice to spend the time with. What a root canal. Dr. Roth is the ideal dentist.

- Melinda W

5 out of 5 stars on

Our Latest Patient Testimonial

Dr.Roth was both skillful and compassionate when my elderly father was brought there for two complicated root canal procedures. his staff assisted my father, who is wheelchair bound into the chair.Dr.Roth explained every procedure and technique to my father before he started. this helped put my father at ease and was much appreciated. he made sure to tell his aide and myself, including my father, what kind of discomfort may ensue from the session. thankfully, my father felt no ill effects or discomfort at all, another testament to the doctors extremely high skill level. in closing, i can't thank Dr. Roth and his staff enough, they turned what could have been a very painful and trying time for my father into something very manageable. I recommend Dr.Roth and his staff very highly.

- Mike R

5 out of 5 stars on

Our Latest Patient Testimonial

My regular dentist crowned one of my teeth, which disrupted it and I was referred to Dr. Roth for a root canal. I was in pain and he fit me in immediately after my regular dentist referred me. In the first visit he alleviated the pain in my tooth, gave specific care instructions and I was able to schedule the follow up in a timely manner. The second visit also went very smoothly and painlessly. The work went quickly and I was done in under and hour. Dr. Roth and his staff are friendly and professional. Hopefully, I will not need any root canals in the future, but if I do I know who I will call first.

- Trevor A

5 out of 5 stars on