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Independence Dental Associates, LLC | Apicoectomy (Endodontic Surgery) in Hackettstown

Independence  Dental  Associates,  L.L.C.

Richard J. Cleave,

General Dentistry, Implants,
 IV Sedation, Oral Surgery,
 Moderate IV Sedation Permit # 034

  Dr. Tiffany P. Chen
New Jersey Speciality Permit #06777

915 County Road 517 # 23 
Hackettstown, NJ 07840
(908) 852-2215

[email protected]

We Are A Comprehensive Full
Service Dental Facility.
Call Us For An Appointment Today.
You Will Be Happy You Did!

Apicoectomy: Endodontic Or Periapical Surgery


An apicoectomy is performed after an unsuccessful root canal. This does not mean that the root canal was done improperly.  Accessory canals may exist which inhibit the success of a root canal.  There could be a cyst or granuloma that will not resolve with root canal therapy.

When an infection will not go away or returns after a root canal has been performed this procedure is usually necessary. There are many nerves that may contain the infected tissue, so it is difficult to ensure that all of the infection is removed during a root canal. During an apicoectomy, the tip of the root of the tooth is removed and replaced with a filling.

In most cases a retreatment is considered before an apicoectomy since it is a simpler, less invasive procedure.

Before the apicoectomy begins you will be given a local anesthetic to numb the area. The doctor will start by making an incision in your gum to expose the root of your tooth. Any inflamed tissue will be removed to clean out the area. The surgery takes place in a very small area, and only a few millimeters are removed from the root. For this reason, the doctor will use magnification and small precision instruments to perform the surgery. The precise nature of the surgery gives it a high rate of success. After a small portion of the root is removed, a filling is placed and the gums are sutured.  You will have to return in a few days to have the sutures (stitches) removed. Over the course of the next few months the bone will heal around the root.

In cases where there is a large amount of bone lost due to the infection then bone grafing will be indicated along with guided tissue regeneration with a special membrane material.  We will discuss this with you in advance if this is required.