- Uncover and Address Recurrent Infections
- How Is An Endodontic Microsurgery Performed?
- What Can I Expect After Endodontic Microsurgery?
- What Are the Benefits of An Apicoectomy?
- Cape Fear Endodontics Reviews
- Am I A Candidate For Endodontic Microsurgery?
- Frequently Asked Questions
- Restore Oral Health With Endodontic Microsurgery
- Get In Touch
- Related Procedures
Uncover and Address Recurrent Infections
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.
How Is An Endodontic Microsurgery Performed?
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.
What Can I Expect After Endodontic Microsurgery?
After your apicoectomy, it is normal to experience some mild swelling, discomfort, and bruising in the treated area. We recommend applying an ice pack to the outside of your face in 10 minute intervals during the first 24 hours to help reduce swelling. Over the counter pain medications can help manage any discomfort during the initial recovery period. You should avoid strenuous activity, hard or crunchy foods, and smoking while your gum tissue heals. Most patients return to their normal routine within a day or two following the procedure. We will schedule a follow up appointment to monitor your healing and ensure the infection has been fully resolved.
What Are the Benefits of An Apicoectomy?
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
Cape Fear Endodontics Reviews
From the moment I entered the endodontist office, I felt welcomed and valued as a patient. The front desk (I believe Diane) greeted me amiably, welcomed me back, and made me feel at home. I cannot say enough positives about Dr. Mihle and his assistant, Alexis. They both exemplify professionalism and compassion. During invasive techniques, Alexis would often put her hand on my shoulder as a means to mitigate the inherent stress. Dr. Mihle did not hurt me once. He was gentle, kind, and extremely professional and thorough. Truly, these guys are the best!
I cannot say enough good things about the entire team here. They are incredibly kind and do everything they can to improve a challenging situation with your teeth so you can return to normalcy. From the moment they called me after the referral, it felt like I was talking to a family member genuinely concerned about my condition, with the intention of getting me in quickly given the pain I was in. When I arrived and walked through the door, she greeted me sincerely and assured me everything would be okay, and that Dr. Mihle would see me as soon as possible. When I was called back, the staff was very sincere, taking all the X-rays to develop a plan of action. While doing this, they were very attentive to the area and made sure what they did didn't hurt me even more. What I mean is, it wasn't just a process of turn your head, etc., and hold still. There was compassion behind it. When Dr. Mihle greeted me, he spoke to me as if he were a long-time doctor of mine, here to fix my tooth and infection. It made me so comfortable, and I knew I was going to be okay. He presented multiple treatment options, and we worked out a plan to proceed in the following days. Fast forward to my procedure, I was very nervous, but they took it seriously and made sure I was comfortable throughout, focusing on my comfort rather than rushing through just to check it off a list. Every detail, even the process of numbing me, was handled carefully by the technician and Dr. Mihle to ensure I was okay and comfortable. I have two more sessions in my treatment plan, and my anxiety is nowhere near what it was before I first walked through their door. I also want to mention that I believe my treatment plan was priced very fairly for all the work Dr. Mihle and his team are doing to repair my failed root canal and infection. Thank you so much from the bottom of my heart for everything you have done for me! Sorry for the long-winded review but I think it is important for you if you're considering utilizing their service you hear everything so you can be assured you're making the right decision.
Super experience
Dr. Mihle and staff are outstanding. He resolved my tooth issues rapidly, pain-free, and care instruction that really helped me recover swiftly. I’ll definitely recommend Dr. Mihle to all my family and friends, including you too!
I always heard a root canal was something to fear. I went to Dr. Mihle and the entire procedure and recovery was completely painless. Also super friendly staff. Hope I don't have to come back, but if I need another root canal this is the place.
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Average Rating
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.
Frequently Asked Questions
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.
Restore Oral Health With Endodontic Microsurgery
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.