{"id":239769,"date":"2026-03-11T16:05:40","date_gmt":"2026-03-11T16:05:40","guid":{"rendered":"https:\/\/prestigedentalspecialists.com\/?page_id=239769"},"modified":"2026-03-11T16:07:24","modified_gmt":"2026-03-11T16:07:24","slug":"endodontic-surgery-apicoectomy","status":"publish","type":"page","link":"https:\/\/live-prestige-dental-specialists.pantheonsite.io\/es\/services\/endodontic-surgery-apicoectomy\/","title":{"rendered":"Cirug\u00eda Endod\u00f3ntica (Apicectom\u00eda)"},"content":{"rendered":"

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Persistent infection after a root canal?<\/h2>\n

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Expert Endodontic Surgery (Apicoectomy) in Annandale<\/h1>\n

[\/et_pb_text][et_pb_text disabled_on=”on|off|off” _builder_version=”4.27.4″ _module_preset=”706f123c-0b79-49b0-90d7-849f3fcd4012″ text_font=”–et_global_body_font|500|||||||” text_font_size=”20px” link_font=”–et_global_body_font|500||||||#299BA0|solid” link_text_color=”#FFFFFF” text_orientation_tablet=”right” text_orientation_phone=”center” text_orientation_last_edited=”off|desktop” saved_tabs=”all” global_colors_info=”{}”]<\/p>\n

<\/i>Call: (703) 462-9092<\/a><\/p>\n

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<\/i>Call: (703) 462-9092<\/a><\/p>\n

[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=”1″ _builder_version=”4.27.4″ _module_preset=”default” custom_padding=”0px||0px||false|false” saved_tabs=”all” locked=”off” global_colors_info=”{}”][et_pb_row column_structure=”3_5,2_5″ use_custom_gutter=”on” gutter_width=”1″ _builder_version=”4.27.4″ _module_preset=”default” width=”100%” max_width=”100%” custom_padding=”0px||0px||false|false” custom_css_main_element=”display: flex;||flex-wrap: wrap;||align-items: center;” global_colors_info=”{}”][et_pb_column type=”3_5″ _builder_version=”4.27.4″ _module_preset=”default” global_colors_info=”{}”][et_pb_image src=”https:\/\/prestigedentalspecialists.com\/wp-content\/uploads\/2025\/09\/comprehensive-specialty-care.jpg” title_text=”comprehensive-specialty-care” _builder_version=”4.27.6″ _module_preset=”default” background_enable_video_mp4=”off” global_colors_info=”{}”][\/et_pb_image][\/et_pb_column][et_pb_column type=”2_5″ _builder_version=”4.27.4″ _module_preset=”default” global_colors_info=”{}”][dsm_card title=”What is an Apicoectomy procedure?” badge_text=”Badget Text” content_padding=”30px|30px|30px|30px|true|true” button_url_new_window=”1″ _builder_version=”4.27.6″ _module_preset=”default” header_level=”h2″ header_font_size=”46px” body_font_size=”19px” body_line_height=”1.5em” background_color=”rgba(255,255,255,0.75)” custom_button=”on” button_text_color=”#FFFFFF” button_bg_color=”#299BA0″ button_border_radius=”10px” button_custom_padding=”10px|25px|10px|25px|true|true” transform_scale_tablet=”” transform_scale_phone=”” transform_scale_last_edited=”on|phone” transform_translate=”-15%|0px” transform_translate_tablet=”0%|0px” transform_translate_phone=”0%|0px” transform_translate_last_edited=”on|phone” transform_translate_linked=”off” transform_rotate_tablet=”” transform_rotate_phone=”” transform_rotate_last_edited=”on|phone” transform_skew_tablet=”” transform_skew_phone=”” transform_skew_last_edited=”on|phone” transform_origin_tablet=”” transform_origin_phone=”” transform_origin_last_edited=”on|phone” transform_styles_last_edited=”on|phone” animation_style=”slide” animation_direction=”right” transform_styles_tablet=”” transform_styles_phone=”” animation_direction_last_edited=”off|phone” border_radii=”on|10px|10px|10px|10px” global_colors_info=”{}” button_bg_color__hover=”#299BA0″ button_bg_color__hover_enabled=”on|hover”]<\/p>\n

Root canal therapy is often the most effective way to treat infection inside a tooth. However, in certain cases, infection around the root tip may require a more targeted surgical approach.<\/p>\n

An apicoectomy \u2014 also known as root-end surgery \u2014 is a precise microsurgical procedure that removes the infected tissue at the tip of the root and seals the end of the canal. This helps the surrounding bone heal properly, prevents reinfection, and allows you to preserve your natural tooth.<\/p>\n

At Prestige Dental Specialists in Annandale, we perform advanced endodontic microsurgery using 3D imaging, surgical microscopes, and modern biocompatible materials. Our approach is designed for accuracy, comfort, and long-term success \u2014 helping you maintain your natural smile whenever possible.<\/p>\n

[\/dsm_card][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=”1″ _builder_version=”4.27.4″ _module_preset=”default” background_color=”#D3EAE4″ custom_margin=”||0px||false|false” custom_padding=”||0px||false|false” custom_css_main_element=”align-content: center;” global_colors_info=”{}”][et_pb_row use_custom_gutter=”on” gutter_width=”2″ _builder_version=”4.27.4″ _module_preset=”default” z_index=”100″ width_tablet=”” width_phone=”90%” width_last_edited=”on|phone” max_width=”1800px” animation_style=”fade” global_colors_info=”{}”][et_pb_column type=”4_4″ _builder_version=”4.27.4″ _module_preset=”default” global_colors_info=”{}”][et_pb_text _builder_version=”4.27.6″ _module_preset=”706f123c-0b79-49b0-90d7-849f3fcd4012″ header_2_text_color=”#010807″ header_2_font_size=”46px” width_tablet=”” width_phone=”100%” width_last_edited=”on|phone” scroll_vertical_motion=”0|50|50|100|1|0|-0.5″ global_colors_info=”{}”]<\/p>\n

Why you might need root canal surgery<\/h2>\n

[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=”1″ _builder_version=”4.27.4″ _module_preset=”default” background_color=”#edf6f3″ z_index=”1″ custom_padding=”0px||0px||false|false” locked=”off” global_colors_info=”{}”][et_pb_row column_structure=”1_3,1_3,1_3″ use_custom_gutter=”on” gutter_width=”1″ make_equal=”on” _builder_version=”4.27.4″ _module_preset=”default” background_color=”#D3EAE4″ width=”100%” max_width=”100%” custom_padding=”0px||0px||false|false” border_radii=”off||||” global_colors_info=”{}”][et_pb_column type=”1_3″ _builder_version=”4.27.4″ _module_preset=”default” background_enable_image=”off” background_enable_video_mp4=”off” custom_padding=”||||false|false” custom_padding_tablet=”350px||30px||false|false” custom_padding_phone=”250px||||false|false” custom_padding_last_edited=”off|desktop” global_colors_info=”{}”][dsm_flipbox flipbox_type=”slide” flipbox_height=”300px” _builder_version=”4.27.6″ _module_preset=”default” custom_padding=”||||false|false” global_colors_info=”{}”][dsm_flipbox_child title=”Persistent infection” button_url_new_window=”1″ _builder_version=”4.27.6″ _module_preset=”default” header_level=”h3″ header_text_align=”center” header_text_color=”#FFFFFF” header_font_size=”30px” background_color=”rgba(1,8,7,0.5)” background_enable_color=”on” background_image=”https:\/\/prestigedentalspecialists.com\/wp-content\/uploads\/2025\/08\/bone-grafting-banner.00_00_10_08.still003.jpg” background_enable_image=”on” background_blend=”multiply” custom_padding=”20px|20px|20px|20px|true|true” global_colors_info=”{}” parent_header_level=”h4″][\/dsm_flipbox_child][dsm_flipbox_child title=”Persistent infection” button_url_new_window=”1″ _builder_version=”4.27.6″ _module_preset=”default” header_level=”h3″ header_text_align=”center” header_text_color=”#010807″ header_font_size=”30px” content_text_align=”center” content_font_size=”18px” background_color=”#D3EAE4″ background_enable_color=”on” custom_padding=”20px|20px|20px|20px|true|true” global_colors_info=”{}” parent_header_level=”h4″]If bacteria remain after root canal treatment or re-enter through a crack or compromised restoration, infection may continue to persist at the tip of the root.[\/dsm_flipbox_child][\/dsm_flipbox][\/et_pb_column][et_pb_column type=”1_3″ _builder_version=”4.27.4″ _module_preset=”default” background_enable_image=”off” background_enable_video_mp4=”off” custom_padding=”||||false|false” custom_padding_tablet=”350px||30px||false|false” custom_padding_phone=”250px||||false|false” custom_padding_last_edited=”off|desktop” global_colors_info=”{}”][dsm_flipbox flipbox_type=”slide” flipbox_height=”300px” _builder_version=”4.27.6″ _module_preset=”default” custom_padding=”||||false|false” global_colors_info=”{}”][dsm_flipbox_child title=”Ongoing symptoms despite imaging” button_url_new_window=”1″ _builder_version=”4.27.6″ _module_preset=”default” header_level=”h3″ header_text_align=”center” header_text_color=”#FFFFFF” header_font_size=”30px” background_color=”rgba(1,8,7,0.5)” background_enable_color=”on” background_image=”https:\/\/prestigedentalspecialists.com\/wp-content\/uploads\/2025\/08\/dental-implant-banner-dr.eddy-dr.-rudiak.00_00_02_14.still002.jpg” background_enable_image=”on” background_blend=”multiply” custom_padding=”20px|20px|20px|20px|true|true” global_colors_info=”{}” parent_header_level=”h4″][\/dsm_flipbox_child][dsm_flipbox_child title=”Ongoing symptoms despite imaging” button_url_new_window=”1″ _builder_version=”4.27.6″ _module_preset=”default” header_level=”h3″ header_text_align=”center” header_text_color=”#010807″ header_font_size=”30px” content_text_align=”center” content_font_size=”18px” background_color=”#D3EAE4″ background_enable_color=”on” custom_padding=”20px|20px|20px|20px|true|true” global_colors_info=”{}” parent_header_level=”h4″]Occasionally, patients may continue to experience discomfort or swelling even when imaging does not clearly show the source of the problem. Apical surgery allows the doctor to directly access the root tip and surrounding tissue to locate and treat the affected area.[\/dsm_flipbox_child][\/dsm_flipbox][\/et_pb_column][et_pb_column type=”1_3″ _builder_version=”4.27.4″ _module_preset=”default” background_enable_image=”off” background_enable_video_mp4=”off” custom_padding=”||||false|false” custom_padding_tablet=”350px||30px||false|false” custom_padding_phone=”250px||||false|false” custom_padding_last_edited=”off|desktop” global_colors_info=”{}”][dsm_flipbox flipbox_type=”slide” flipbox_height=”300px” _builder_version=”4.27.6″ _module_preset=”default” custom_padding=”||||false|false” global_colors_info=”{}”][dsm_flipbox_child title=”Blocked or calcified canals” button_url_new_window=”1″ _builder_version=”4.27.6″ _module_preset=”default” header_level=”h3″ header_text_align=”center” header_text_color=”#FFFFFF” header_font_size=”30px” background_color=”rgba(1,8,7,0.5)” background_enable_color=”on” background_image=”https:\/\/prestigedentalspecialists.com\/wp-content\/uploads\/2025\/08\/shalom-smile-section-2.00_00_02_07.still001.jpg” background_enable_image=”on” background_blend=”multiply” custom_padding=”20px|20px|20px|20px|true|true” global_colors_info=”{}” parent_header_level=”h4″][\/dsm_flipbox_child][dsm_flipbox_child title=”Blocked or calcified canals” button_url_new_window=”1″ _builder_version=”4.27.6″ _module_preset=”default” header_level=”h3″ header_text_align=”center” header_text_color=”#010807″ header_font_size=”30px” content_text_align=”center” content_font_size=”18px” background_color=”#D3EAE4″ background_enable_color=”on” custom_padding=”20px|20px|20px|20px|true|true” global_colors_info=”{}” parent_header_level=”h4″]Over time, calcium deposits can narrow the root canals, making it difficult for instruments to reach the tip of the root during conventional treatment.[\/dsm_flipbox_child][\/dsm_flipbox][\/et_pb_column][\/et_pb_row][et_pb_row column_structure=”1_2,1_2″ use_custom_gutter=”on” gutter_width=”1″ make_equal=”on” _builder_version=”4.27.6″ _module_preset=”default” background_color=”#D3EAE4″ width=”100%” max_width=”100%” custom_padding=”0px||0px||false|false” border_radii=”off||||” global_colors_info=”{}”][et_pb_column type=”1_2″ _builder_version=”4.27.4″ _module_preset=”default” background_enable_image=”off” background_enable_video_mp4=”off” custom_padding=”||||false|false” custom_padding_tablet=”350px||30px||false|false” custom_padding_phone=”250px||||false|false” custom_padding_last_edited=”off|desktop” global_colors_info=”{}”][dsm_flipbox flipbox_type=”slide” flipbox_height=”300px” _builder_version=”4.27.6″ _module_preset=”default” custom_padding=”||||false|false” global_colors_info=”{}”][dsm_flipbox_child title=”Complex root anatomy” button_url_new_window=”1″ _builder_version=”4.27.6″ _module_preset=”default” header_level=”h3″ header_text_align=”center” header_text_color=”#FFFFFF” header_font_size=”30px” background_color=”rgba(1,8,7,0.5)” background_enable_color=”on” background_image=”https:\/\/prestigedentalspecialists.com\/wp-content\/uploads\/2025\/08\/your-new-smile-starts-here-patient-resource-banner.jpg” background_enable_image=”on” background_blend=”multiply” custom_padding=”20px|20px|20px|20px|true|true” global_colors_info=”{}” parent_header_level=”h4″][\/dsm_flipbox_child][dsm_flipbox_child title=”Complex root anatomy” button_url_new_window=”1″ _builder_version=”4.27.6″ _module_preset=”default” header_level=”h3″ header_text_align=”center” header_text_color=”#010807″ header_font_size=”30px” content_text_align=”center” content_font_size=”18px” background_color=”#D3EAE4″ background_enable_color=”on” custom_padding=”20px|20px|20px|20px|true|true” global_colors_info=”{}” parent_header_level=”h4″]Some teeth have curved roots, extra canals, or unique internal structures that can make complete cleaning challenging. Root-end surgery allows the specialist to directly address the area at the root tip.[\/dsm_flipbox_child][\/dsm_flipbox][\/et_pb_column][et_pb_column type=”1_2″ _builder_version=”4.27.4″ _module_preset=”default” background_enable_image=”off” background_enable_video_mp4=”off” custom_padding=”||||false|false” custom_padding_tablet=”350px||30px||false|false” custom_padding_phone=”250px||||false|false” custom_padding_last_edited=”off|desktop” global_colors_info=”{}”][dsm_flipbox flipbox_type=”slide” flipbox_height=”300px” _builder_version=”4.27.6″ _module_preset=”default” custom_padding=”||||false|false” global_colors_info=”{}”][dsm_flipbox_child title=”Obstructions or hidden anatomy” button_url_new_window=”1″ _builder_version=”4.27.6″ _module_preset=”default” header_level=”h3″ header_text_align=”center” header_text_color=”#FFFFFF” header_font_size=”30px” background_color=”rgba(1,8,7,0.5)” background_enable_color=”on” background_image=”https:\/\/prestigedentalspecialists.com\/wp-content\/uploads\/2025\/08\/laser-banner-video.00_00_00_00.still001.jpg” background_enable_image=”on” background_blend=”multiply” custom_padding=”20px|20px|20px|20px|true|true” global_colors_info=”{}” parent_header_level=”h4″][\/dsm_flipbox_child][dsm_flipbox_child title=”Obstructions or hidden anatomy” button_url_new_window=”1″ _builder_version=”4.27.6″ _module_preset=”default” header_level=”h3″ header_text_align=”center” header_text_color=”#010807″ header_font_size=”30px” content_text_align=”center” content_font_size=”18px” background_color=”#D3EAE4″ background_enable_color=”on” custom_padding=”20px|20px|20px|20px|true|true” global_colors_info=”{}” parent_header_level=”h4″]Posts, separated instruments, or previously undetected canals may limit access during retreatment. In these cases, surgery can provide a more direct approach while preserving the existing restoration.[\/dsm_flipbox_child][\/dsm_flipbox][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=”1″ _builder_version=”4.27.4″ _module_preset=”default” custom_padding=”0px||0px||false|false” locked=”off” global_colors_info=”{}”][et_pb_row column_structure=”3_5,2_5″ use_custom_gutter=”on” gutter_width=”1″ _builder_version=”4.27.4″ _module_preset=”default” background_color=”#edf6f3″ width=”100%” max_width=”100%” custom_padding=”0px||0px||false|false” custom_css_main_element=”display: flex;||flex-wrap: wrap;||align-items: center;” global_colors_info=”{}”][et_pb_column type=”3_5″ _builder_version=”4.27.4″ _module_preset=”default” z_index=”150″ global_colors_info=”{}” custom_css_main_element_last_edited=”on|tablet” custom_css_main_element_tablet=”order: 2;” custom_css_main_element_phone=”order: 2;”][dsm_card title=”Is an apicoectomy painful?” badge_text=”Badget Text” content_padding=”30px|30px|30px|30px|true|true” button_url_new_window=”1″ _builder_version=”4.27.6″ _module_preset=”default” header_level=”h2″ header_font_size=”46px” body_font_size=”19px” background_color=”rgba(255,255,255,0.75)” custom_button=”on” button_text_color=”#FFFFFF” button_bg_color=”#299BA0″ button_border_radius=”10px” button_custom_padding=”10px|25px|10px|25px|true|true” transform_scale_tablet=”” transform_scale_phone=”” transform_scale_last_edited=”on|tablet” transform_translate=”15%|0px” transform_translate_tablet=”0%|0px” transform_translate_phone=”0%|0px” transform_translate_last_edited=”on|phone” transform_translate_linked=”off” transform_rotate_tablet=”” transform_rotate_phone=”” transform_rotate_last_edited=”on|tablet” transform_skew_tablet=”” transform_skew_phone=”” transform_skew_last_edited=”on|tablet” transform_origin_tablet=”” transform_origin_phone=”” transform_origin_last_edited=”on|tablet” transform_styles_last_edited=”on|phone” z_index=”150″ animation_style=”slide” animation_direction=”left” transform_styles_tablet=”” transform_styles_phone=”” border_radii=”on|10px|10px|10px|10px” global_colors_info=”{}” button_bg_color__hover=”#299BA0″ button_bg_color__hover_enabled=”on|hover”]<\/p>\n

Modern endodontic microsurgery is comfortable, and many patients are surprised by how little discomfort there is after surgery.<\/p>\n

You may experience:<\/p>\n