Apicoectomy in Stillwater, MN
A Surgical Solution for Persistent Tooth Infections
If you have had a root canal but are still experiencing pain, swelling, or infection, a standard retreatment may not be enough to resolve the issue. In these cases, an apicoectomy—a minor surgical procedure—can help eliminate infection, save your tooth, and prevent the need for extraction.
Surgical Treatment for Persistent Root Infections
When a tooth continues to cause discomfort after a root canal, standard retreatment may not be enough. In these cases, a specialized procedure called an apicoectomy may be the most effective way to remove the source of infection and preserve the natural tooth.
At River Valley Endodontics, we perform precise apicoectomy procedures using microsurgical techniques and 3D imaging to ensure successful outcomes. Patients from Stillwater, Oak Park Heights, Bayport, Lake Elmo, and Grant, MN, choose us for our expertise in treating complex infections with minimal disruption and maximum preservation of tooth structure.
What Is an Apicoectomy?
An apicoectomy—also called root-end surgery—is a minor surgical procedure performed when infection remains at the tip of a tooth's root after a root canal. Instead of re-entering the tooth through the crown as in traditional retreatment, this procedure addresses the issue from the root itself.
During an apicoectomy:
- A small incision is made in the gum to access the root tip.
- The infected tissue and the end portion of the root are removed.
- The root canal is sealed with a biocompatible material to prevent reinfection.
This type of surgery is often recommended when:
- Previous root canal therapy has failed to fully resolve the infection.
- The root canals are too narrow or curved for traditional retreatment.
- Hidden fractures or anatomical complexities are present.
- A cyst or abscess has formed around the root tip.
If you’re searching for an apicoectomy near me, our practice is equipped to deliver expert care with advanced tools for maximum precision.
Signs You May Need an Apicoectomy
Not all teeth respond to root canal treatment the same way. If you’ve previously had endodontic therapy and are still experiencing symptoms, you may need surgical intervention. Common signs include:
- Chronic or recurring pain in a tooth that has already had a root canal
- Swelling or tenderness near the affected tooth
- A visible bump or pimple on the gums (often indicating an abscess)
- Bone loss visible on X-rays near the tooth root
- Ongoing sensitivity or discomfort when biting or chewing
If you're experiencing these symptoms in Stillwater or nearby cities like Oak Park Heights or Bayport, an apicoectomy may offer relief and help you avoid tooth extraction.
What to Expect During the Procedure
Our team uses minimally invasive techniques and advanced imaging to deliver efficient, comfortable apicoectomy procedures. Here’s how it works:
- Diagnosis and Planning
We begin with a thorough evaluation using CBCT scans and digital X-rays to assess the infection and determine whether an apicoectomy is appropriate. - Anesthesia and Sedation
The procedure is performed under local anesthesia. For anxious patients, we offer sedation dentistry to ensure a relaxed experience. - Surgical Removal of the Root Tip
A small incision is made in the gum, allowing access to the root end. The infected tissue and the root tip are carefully removed. - Sealing and Suturing
The canal is sealed with a durable material to prevent future infection, and the incision is closed with sutures to support healing. - Postoperative Care
Recovery is typically quick, and we provide detailed care instructions to support healing and minimize discomfort.
If necessary, this procedure can be part of a larger treatment plan that includes endodontic retreatment or cracked teeth treatment.
Why Choose River Valley Endodontics for Apicoectomy?
Patients across Washington County trust us for apicoectomy procedures due to our commitment to both clinical precision and patient care. Here’s what sets us apart:
- Specialized Surgical Expertise
Dr. Ernest Reeh brings over 30 years of experience in endodontic microsurgery, including apicoectomies for complex cases. - Advanced Imaging and Microsurgical Tools
We utilize high-resolution 3D technology to ensure accurate diagnosis, efficient treatment, and minimized tissue disruption. - Comfort-Focused Treatment
From your first consultation to your final follow-up, your comfort is our priority. We offer sedation and a calming clinical environment. - Commitment to Tooth Preservation
We believe in saving natural teeth whenever possible and tailor every procedure to preserve your oral structure and long-term function.
Whether you're located in Lake Elmo, Grant, or right here in Stillwater, expert surgical care is just a call away.
Frequently Asked Questions
A root canal removes infected tissue from inside the tooth, while an apicoectomy removes infection at the root tip from the outside. It's typically used when root canal treatment has already been performed but infection persists.
Most patients report only mild soreness or swelling. Discomfort can be managed with over-the-counter medication and typically resolves in a few days.
Recovery is generally quick. Most patients return to normal activities within 24–48 hours, though full bone healing can take several months.
Yes. With proper care, an apicoectomy can eliminate infection and save your natural tooth for many years.
Schedule Your Apicoectomy Consultation
If you're dealing with a persistent tooth infection after a root canal, don't wait until the symptoms worsen. An apicoectomy in Stillwater may be the best option to save your natural tooth and avoid more invasive procedures. At River Valley Endodontics, we proudly serve patients from Oak Park Heights, Bayport, Lake Elmo, Grant, and surrounding areas with surgical precision and patient-first care.
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