Endodontic Microsurgery in Wilmington, NC

At Cape Fear Endodontics, we perform apicoectomies to save natural teeth when root canal treatment alone is not enough. An apicoectomy, also known as root-end surgery, is a specialized procedure that removes the tip of a tooth’s root and any surrounding infected tissue to prevent further infection and restore oral health. This treatment is often recommended when a root canal has not fully resolved an issue, allowing patients to keep their natural tooth and avoid extraction. If you’ve been told you may need an apicoectomy, contact Cape Fear Endodontics, to schedule a consultation and learn more about your treatment options.

We perform apicoectomies with precision and care. The procedure begins with a small incision in the gum tissue near the affected tooth to access the root. The tip of the root and any surrounding infected tissue are removed, and the end of the root canal is sealed to prevent future infection. Finally, the gum tissue is sutured back into place to heal properly. An apicoectomy is typically completed in about 30 – 90 minutes, depending on the tooth and complexity of the case, and it is performed under local anesthesia to ensure patient comfort.

The benefits of an apicoectomy include:

  • Saving a natural tooth that might otherwise be lost
  • Eliminating persistent infection and inflammation
  • Relieving pain and discomfort
  • Protecting surrounding teeth and bone from damage
  • Maintaining natural bite and jaw alignment
  • Reducing the need for more complex treatments like implants or bridges

About as pleasant as one can make a root canal. 😄 every step was thoroughly explained and the tech asst gave verbal warnings before each drilling sequence.Tim’s been at this for so many years and exudes confidence and calm.

B.H. Google

Thank you Dr.Mihle and staff for taking good care of me

R.N. Google

Every aspect of my experience with Dr. Mihle, his staff, and his incredible office exceeded my expectations. From the welcoming, professional team to the state-of-the-art diagnostic technology, every detail reflects an exceptional level of care and excellence. This was, without question, one of the best healthcare experiences I've ever had. I could not recommend Dr. Mihle more highly.

L.H. Google

Dr. Milhe, explained what he was going to do. If the tooth root couldn’t be cleaned it would need to be pulled. Shot me w novacane. And away went. He cleaned out the roots. Made I feeling OK. Great team.

R.W. Google

Awesome experience from first class organization.

D.C. Google

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Average Rating

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Am I A Candidate For Endodontic Microsurgery?

An apicoectomy is generally recommended for patients who have persistent infection or inflammation in the bone around the tip of their tooth's root after undergoing root canal treatment. You might be a good candidate if you have a complex root structure that makes traditional root canal treatment difficult, or if there is a cyst or fracture near the root tip. It is also an option for those who wish to save a natural tooth that has a crown or bridge, as it allows for treatment without disturbing the existing dental work. A thorough evaluation, including X-rays, will help our team determine if an apicoectomy is the right solution for you.

Is endodontic microsurgery painful during the procedure?

Patients receiving endodontic microsurgery in Wilmington, NC are fully numbed with local anesthesia before treatment begins. Our team ensures the area is thoroughly anesthetized so you remain comfortable throughout the procedure. Because modern microsurgical techniques are highly precise and minimally invasive, most patients report feeling pressure rather than pain. Sedation options may also be available for individuals who feel anxious about dental surgery.

How long does endodontic microsurgery take during the appointment?

The length of endodontic microsurgery varies depending on the tooth being treated and the complexity of the case, but most procedures take between 60 and 90 minutes. During your visit to Cape Fear Endodontics in Wilmington, NC, our team works efficiently while maintaining a meticulous focus on detail using advanced endodontic technology. Additional time may be needed if there are multiple root canals or complex anatomical concerns.

When is endodontic microsurgery performed instead of a root canal retreatment?

Endodontic microsurgery is typically performed when traditional root canal retreatment is not possible or unlikely to resolve the infection. This may occur when a tooth has a crown or post that cannot be safely removed, when canals are blocked, or when a persistent infection remains at the root tip. During treatment at Cape Fear Endodontics in Wilmington, NC, our team evaluates the anatomy and clinical findings to determine the most appropriate approach for preserving your natural tooth.

If you are experiencing persistent tooth pain or have been advised to consider root-end surgery, the skilled team at Cape Fear Endodontics in Wilmington, NC is here to help. Our team offers apicoectomies designed to eliminate infection, relieve discomfort, and save natural teeth that might otherwise be lost. Call Cape Fear Endodontics today to schedule your apicoectomy consultation and take the first step toward lasting oral health.

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