Woodbury Endodontic Microsurgery
Preserving natural teeth through advanced surgical care
A specialized procedure to save your tooth when other treatments fall short
In certain cases, a traditional root canal or retreatment might not be enough to fully eliminate a deep infection or persistent problem in a tooth. When this happens, an apicoectomy, or endodontic microsurgery, can provide an additional opportunity to save the tooth. This procedure is focused on removing the infected root tip and tissue, allowing the rest of the tooth to heal and remain functional.
An apicoectomy is often recommended when the tooth’s internal structure presents challenges for conventional treatments, such as when previous materials or complex anatomy make it impossible to clean the canals effectively.
Why an apicoectomy might be your best option
At Central Endodontics of Long Island, we specialize in preserving your natural teeth with advanced surgical options like apicoectomy. This surgery is typically considered when a tooth does not respond to traditional root canal therapy, or when infection persists due to factors like:
- Extraradicular infections or cysts that cannot be addressed with non-surgical methods
- Blocked or calcified canals that prevent thorough cleaning during root canal treatment
- Persistent inflammation due to anatomical complexities or complications from previous dental procedures
Our goal is to help you keep your natural tooth while eliminating the source of infection, providing a long-term solution for your oral health.
What happens during the apicoectomy procedure
- Comprehensive assessment and planning: Using advanced diagnostic tools such as CBCT (cone beam computed tomography), we’ll create a 3D view of your tooth to locate the infection and any underlying problems.
- Surgical removal of infected tissue: Dr. Yoo will make a small incision in the gum tissue to access the root of the tooth. The infected root tip and tissue are carefully removed to eliminate the problem.
- Cleaning and sealing the root: The remaining root is thoroughly cleaned, disinfected, and sealed with a special material to prevent future infections and promote bone regeneration.
- Post-surgery care: After the procedure, we will provide you with detailed aftercare instructions to ensure a smooth recovery. Follow-up appointments will help monitor healing and prevent complications.
Advanced Technology
At Central Endodontics of Long Island, we leverage cutting-edge technology to achieve the best possible outcomes for every patient. CBCT imaging allows us to see detailed, three-dimensional images of your tooth, providing a more accurate diagnosis and treatment plan. This technology is especially important for identifying hidden canals, fractures, or infections often missed with standard x-rays.
We also use high-powered dental microscopes to enhance our visibility during the apicoectomy procedure, ensuring we can work with precision and thoroughly clean and seal the affected area.
Frequently asked questions about apicoectomy
What is an apicoectomy, and why might I need it?
An apicoectomy is a microsurgical procedure performed on the tip of a tooth’s root to remove infected tissue and the root’s apex (the tip of the root) that cannot be reached through conventional root canal therapy. This treatment is necessary when a previous root canal has failed to fully resolve the infection or if new issues arise, such as the development of a cyst or persistent inflammation at the root tip. The procedure is considered an excellent option for preserving the health of the natural tooth. It’s often recommended when:
- The infection is recurring or persistent despite previous treatments.
- Blockages or calcifications make non-surgical retreatment impossible.
- The root anatomy, such as bends or fractures, complicates access to the infection site.
Apicoectomy offers an effective solution for preserving your natural tooth and avoiding the need for extraction and more invasive procedures like implants or bridges.
How soon can I return to normal activities after surgery?
Most patients can resume their normal activities within 24 hours of an apicoectomy, but this can vary depending on the complexity of the surgery and individual healing rates. While the initial healing time is short, it’s common to experience minor swelling or tenderness around the surgical site. These symptoms typically subside within a few days and are easily managed with over-the-counter pain relievers, cold compresses, and following the post-operative care instructions provided by Dr. Yoo.
That said, patients are advised to avoid strenuous physical activity and anything that could disturb the healing process for at least the first 48 hours. Eating soft foods and avoiding excessive chewing near the surgical area is recommended. The full healing process can take several months, during which follow-up appointments will help monitor the tooth’s recovery.
Is an apicoectomy painful?
Apicoectomy is performed under local anesthesia, ensuring that the surgical area is fully numbed, and you won’t feel any pain during the procedure. For patients with higher levels of anxiety, we can also offer sedation options to enhance comfort. After the procedure, some discomfort or swelling is normal but typically mild. Post-surgical pain can usually be managed with over-the-counter pain medications like ibuprofen or acetaminophen.
It’s important to closely follow the post-operative care instructions to minimize any discomfort, avoid complications, and promote faster healing. If pain persists or worsens beyond the expected recovery time, you should contact Dr. Yoo immediately to assess the situation.
How long does the apicoectomy procedure take, and will I need more than one appointment?
The duration of an apicoectomy generally depends on the complexity of the case but typically lasts between 60 to 90 minutes. The procedure involves accessing the root tip through a small incision in the gum, removing the infected tissue, and sealing the remaining root to prevent further infection. Most apicoectomies are completed in a single visit.
However, follow-up care is critical. You’ll be scheduled for one or more follow-up appointments to monitor healing, check for any signs of complications, and ensure that the infection has been fully resolved. In cases where bone damage occurred due to infection, additional healing time may be required to assess the integrity of the surrounding bone and ensure it has properly healed.
What is the success rate of an apicoectomy, and what factors affect it?
Apicoectomies are highly successful. Several factors contribute to the success of the procedure, including the severity of the infection, the structural integrity of the remaining tooth, and the use of advanced technology like CBCT imaging and dental microscopes to locate hidden canals, fractures, or other complications.
Other factors that can influence the success include:
- The skill and expertise of the endodontist performing the surgery.
- Your adherence to post-operative care and oral hygiene instructions.
- The presence of complex root anatomy or previously undetected fractures in the root.
While apicoectomy can offer a long-term solution for many patients, there are rare cases where the tooth may still require extraction due to extensive damage or persistent infection. Dr. Yoo will discuss your specific condition and the likelihood of success during your consultation.
What post-surgery care is necessary after an apicoectomy?
Proper post-surgical care is essential for a successful recovery. After an apicoectomy, it’s important to follow these general guidelines:
- Avoid hard or chewy foods for several days, focusing on soft foods to prevent irritation at the surgical site.
- Keep the area clean by gently rinsing your mouth with warm salt water to reduce swelling and prevent infection. Avoid aggressive brushing near the surgical area.
- Use cold compresses to reduce any swelling for the first 24 hours after surgery.
- Take prescribed medications as directed, including antibiotics if necessary, to prevent infection.
You’ll also need to attend regular follow-up visits to ensure that healing is progressing as expected and to assess the stability of the remaining tooth structure. In some cases, additional restorative work such as a crown may be recommended to protect the tooth from future damage.
I had my very first root canal done by Dr. Yoo. I was extremely nervous after hearing some horror stories about root canals. All I can say is wow this doctor was fast and efficient during this procedure. I had pain before the root canal and after the pain was literally GONE! No soreness, no sensitivity, no swelling… I was amazed. He and his assistant worked very well together to speed the entire process up. I highly recommend this doctor.
- Melissa R.
From the moment I arrived, they were courteous and helpful. Dr. Yoo is amazing, he explained the procedure and proceeded to complete the best Root Canal I've ever experienced. Dr. Yoo was thorough and made sure I was comfortable. The entire team was very professional but friendly. Excellent place and I will recommend it to my friends and family.
- Al J.
So painless and comfortable that I fell asleep during a procedure! Legit-dreaming and all. This practice was able to conduct an emergency root canal on a tooth that already had a crown from a prior root canal. They are extremely professional and very state-of-the-art. Microscope, scans, and all kinds of science that gets you fixed up and back up and running.
- Brian D.
Outstanding Dentist! I was in need of a root canal. The process of scheduling an appointment was painless. Dr. Yoo was great at explaining the process and options to my situation. He was very thorough and took the time to get it right. I was very glad that he was able to save my tooth. He has great bedside manners during and after the procedure. He even personally called me the next day to check in (Most doctors let the front office take care of this). He goes the extra mile- and it shows. I would absolutely recommend Dr. Yoo to friends and family.
- jmcgilz
I was nervous because this was my first root canal. Dr. Yoo did an amazing job and I would recommend this office to everyone. A painless experience, and knowledgeable and friendly doctors and staff. Clean, organized, and professional.
- Matt B.
Best experience getting a root canal Redone. Dr. Yoo was great.
- Pat P.
Dr. Yoo provides very clear explanations, is very gentle, listens attentively, and does not ignore my symptoms even though they are completely atypical. He can be easily reached if there are any questions or complications. The office staff is wonderful, courteous, efficient, and helpful. If I could give the office 10 stars, I would. I am a VERY, VERY grateful patient. Thank you!!!
- Eve K.
Was very pleased with my operation"! Very professional and friendly staff. Would certainly come back again if need be!
- James L.
I was in tremendous pain in one of my teeth. The pain was so much, my brain couldn’t even process it. I called my dentist and he recommended this place. Even though it was super last minute the receptionist (thank you so much!!!) managed to get Doctor Yoo on the phone. As soon as he realized how much pain I was in he told me to come in.
Once I came in, they took me right away. Super professional, clean, friendly, efficacious - did an amazing job!!!!! And most importantly very human, treating me with care.
Thank you to the entire office team, Dr Yoo and Dr. Yoo’s assistant - you guys make a difference in the world ❤️.
- Tania V.
Everyone I encountered for my visit was so professional and caring. I was in tremendous pain when I called. I was cared for from the moment I walked in until I left. Dr. Yoo was very kind and thorough and made sure I was comfortable, pain-free, and well-informed as we went through the entire root canal procedure!
- Jan K.
I have been treated by Dr Yoo. He explained my options very well. Dr Yoo is very pleasant and helpful. I really appreciate his professionalism. The office is state of the art and the staff very nice. I’m 100% recommending this place for treatment.
- Amandita M.
Woke up at 1am Thanksgiving morning with a terrible toothache and got through the day. The staff was great and Dr. Yoo could not have been any more empathetic and clearly explained the situation and my options.
- John L.
Everyone was so kind and made me very comfortable with my procedure. Dr Yoo was great!! He explained in detail what he was doing and checked on me the next day with a phone call!
- Gloria K.
It's never fun to have a root canal but Dr. Yoo was amazing.
- Antoinette M.
Very pleasant office staff. Dr Yoo performed my root canal today. The experience went smoothly and was pain-free. I highly recommend Dr Jason Yoo if you need a root canal.
- Helen N.
Dr. Yoo and EVERYONE here is fantastic. They do a fantastic job at making you feel comfortable and easing the stress of being at the dentist. I would recommend them a million times over. Thank you to the entire staff for being awesome!
- Neil C.
The treatment and service by the entire staff and especially Dr. Yoo was excellent. I would without reservation highly recommend him for anyone needing endodontic dental services. He was especially thorough with the explanation of what procedure he was about to perform but was very precise and thoughtful with his call the morning following the treatment to check on my condition.
- Nubar N.
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