Apicoectomy in
Las Vegas, NV

A Surgical Solution for Persistent Tooth Infections

When a root canal fails to fully eliminate an infection or inflammation around the tip of a tooth’s root, an apicoectomy may be necessary to save the tooth. At Blue Diamond Oral Surgery, we specialize in this advanced microsurgical procedure to remove infected tissue and prevent the need for tooth extraction. Our skilled team, led by Dr. Kristi Agari, provides expert care to patients in Las Vegas, Blue Diamond, Enterprise, Spring Valley, and Southern Highlands who require surgical intervention to preserve their natural teeth.

What Is an Apicoectomy?

An apicoectomy, also known as root-end surgery, is a minor oral surgery procedure performed when a tooth infection persists after a root canal treatment. Rather than removing the entire tooth, this procedure targets the affected root tip and surrounding tissue, eliminating infection while maintaining the integrity of the tooth.

How an Apicoectomy Differs from a Root Canal

• A root canal treats infection inside the tooth by cleaning and sealing the root canals.
• An apicoectomy is performed when infection lingers at the root tip, removing the damaged portion while preserving the rest of the tooth.

This procedure is often recommended for patients experiencing recurring pain or infection despite having undergone one or more root canal treatments.

Signs You May Need an Apicoectomy

An apicoectomy is typically recommended if:

• A previously treated tooth remains infected or painful.
• A cyst or abscess has formed near the root tip.
• Root canal retreatment is not an option due to structural concerns.
• There is persistent inflammation around the root end despite previous treatment.
• The root structure is damaged or contains hidden canals that cannot be accessed with traditional endodontic therapy.

If you have ongoing discomfort in a tooth that has already had a root canal, a consultation with Blue Diamond Oral Surgery can determine whether an apicoectomy is the best solution.

The Apicoectomy Procedure

This procedure is performed under local anesthesia or IV sedation for patient comfort.

1. Diagnostic Imaging and Evaluation

Advanced CBCT imaging is used to assess the root structure and surrounding bone, ensuring precise treatment planning.

2. Incision and Access to the Root Tip

A small incision is made in the gum tissue near the affected tooth to expose the root tip and infected tissue.

3. Removal of Infection and Root Tip

The damaged root tip and surrounding inflamed tissue are carefully removed to eliminate the source of infection.

4. Sealing the Root End

A small biocompatible filling is placed at the end of the root canal to prevent reinfection.

5. Suturing and Healing

The gum tissue is repositioned and sutured, allowing for proper healing. Over the following weeks, the bone naturally regenerates around the treated area.

Recovery and Aftercare

Following an apicoectomy, mild swelling and discomfort are common but typically subside within a few days. Patients are advised to:

• Take prescribed or over-the-counter pain relievers as needed.
• Apply cold compresses to reduce swelling.
• Follow a soft food diet for the first few days.
• Avoid vigorous brushing near the surgical site until healing progresses.

Complete recovery usually takes a few weeks, and a follow-up visit may be scheduled to ensure proper healing.

Why Choose Blue Diamond Oral Surgery?

• Experienced Surgeon – Dr. Kristi Agari is expert in advanced oral surgery techniques, including root-end procedures.
• Advanced Imaging Technology – CBCT scanning allows for precise diagnosis and surgical accuracy.
• Comprehensive Sedation Options – Patients can choose from IV sedation or nitrous oxide for a stress-free experience.
• Minimally Invasive Techniques – Our approach prioritizes patient comfort and faster recovery.

Frequently Asked Questions

How long does an apicoectomy take?

The procedure typically takes between 30 to 90 minutes, depending on the complexity of the case and the location of the affected tooth.

Is an apicoectomy painful?

Local anesthesia or sedation is used to ensure patient comfort. Most patients experience only mild discomfort after the procedure, which can be managed with medication.

What happens if I do not get an apicoectomy?

If left untreated, the infection can spread, leading to increased pain, bone loss, and the eventual need for tooth extraction.

How successful is an apicoectomy?

With modern surgical techniques, an apicoectomy has a high success rate, often preserving the tooth for many years or even a lifetime.

How do I care for the area after surgery?

Gentle oral hygiene, avoiding strenuous activity, and following post-operative care instructions will promote faster healing and reduce complications.