Endodontic or Apical Surgery in Reston



Reston Endodontics provides endodontic or apical surgery in Reston, VA. Call 703-399-2333 to learn more and schedule an appointment.

Although root canal treatment is usually effective when it comes to saving teeth, apical surgery may be needed instead of or in addition to root canal treatment in certain cases. Also known as an apicoectomy, this procedure is often advised if the bone around the tip of the root, or apex, is still inflamed or infected following root canal treatment.

What Happens During Apical Surgery

To keep you comfortable during apical surgery, the affected tooth and the gum tissue surrounding it are numbed with local anesthesia. The apex and any inflamed or infected tissue are removed through a small incision in the gum. A filling is then used to seal the end of the root canal if necessary, and sutures are used to close the incision.

You should expect some swelling and discomfort at the incision site following apical surgery. This is usually minor and can be addressed with over-the-counter pain medication. Most patients are able to return to work the day after apical surgery. We recommend taking the rest of the day off to relax at home following the surgical procedure.

Frequently Asked Questions About Apical Surgery

How long does endodontic surgery take?

Because the length of time required depends on the complexity of your canal structures, your endodontist will let you know what to expect during your consultation.

How painful is an apicoectomy?

Apicoectomy is painless since a local anesthetic is used to numb the tooth and surrounding tissue. You’ll notice some soreness at the site in the hours after your appointment as the anesthetic wears off, but this is usually minor and can be managed with over-the-counter pain relievers. Ice is recommended during the first 48hrs to minimize swelling of the surgical area.

Are you awake during an apicoectomy?

Yes, you will remain awake during an apicoectomy, but if you’re feeling nervous about the procedure, we may be able to provide you with a safe form of dental sedation to help you relax.

How do you know if you need an apicoectomy?

If your tooth is still painful after root canal treatment, you may need an apicoectomy or endodontic retreatment. We can advise you on which choice is best for your situation when you come to our office for a consultation. Advanced radiographic imaging is also used to help determine your need for apical surgery as well as guide us during the surgical procedure.

Does insurance cover endodontic surgery?

Endodontic surgery is commonly covered by dental insurance, but plans do differ from one provider to the next. To confirm your benefits, we recommend contacting your insurance company.

Call 703-399-2333 to schedule an appointment.