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When a tooth does not completely heal

An apicoectomy is a minor surgical procedure that is necessary when root canal therapy has not healed an infected tooth completely. Even after root canal therapy, infection sometimes may continue to grow at the tip of the tooth root, where it can dissolve jawbone and form a painful abscess.

The procedure

First, we numb the area to keep you completely comfortable throughout the procedure. Then we make a small incision in the gums next to the tooth's root. We carefully remove the thin bone covering the tooth's root so we can access it.

We then remove the infected tissue at the root tip and seal the root with a filling material. In some cases, we may place bone grafting material into the space to help the bone to regrow around the root. Last, we replace the gum tissue and stitch it back into place.

The bone tissue will heal to fill in the area around the tip of your tooth's root, and your tooth will once again be healthy and pain free.

The benefits of an apicoectomy

An apicoectomy removes infection, relieves pain, and helps healthy bone to grow in around the root. It is an important procedure that can save your tooth.

Patient Reviews

  • Dr. Rehder and the entire staff are friendly and compassionate. They accommodate my needs as a patient and treat me as a personal friend. Professionally, they provide the utmost care and advice, the patient always comes first. I can’t say enough positive comments about this practice.

    ~Review by Eileen S.

  • Dr. Rehder is very professional, yet not too serious as he is doing your teeth. He makes it relaxing and is able to keep your mind away from his work (I have never liked going to the dentist, but Dr. Rehder makes the experience as close to pleasant as a dentist visit can be).

    ~Review by Mary Ellen M.

  • Thank you Dr. Rehder and Christine for the "always exciting" and "never a dull moment" orthodontist appointment. See you in two weeks to do it all over again. Ok maybe-not ALL over again.

    ~Review by Elena C.

  • I had a great experience with Dr. Rehder. He is very informative and professional. All of the staff were so nice and helpful. My overall experience was one of the best I had with a dental office. I would definitely recommend people to come here.

    ~Review by Paulina C.

  • Professional staff. Makes you feel at ease, would highly recommend.

    ~Review by Diane S.

  • Always wonderful visits at Pinefield Dental. I've been a patient since the very early 90s. The staff is my extended family & takes care of my teeth with the utmost professionalism. This is my dental home

    ~Review by Kenneth C.

  • The doctor and staff were wonderful. My experience is always great. The staff is very caring and always professional. The hours are very convenient as well. They will be able to accommodate anyone's schedule.

    ~Review by Amanda C.

  • Richard F. Gittleson, DDS Reviews No one likes/enjoys going to the dentist, but our dentist (Dr. Gittleson) and his staff are so pleasant they help relieve a patient fears.

    ~Review by Patricia L.

  • Highly recommended, I’ve been a patient since 1983.

    ~Review by Charles G.

  • Excellent.

    ~Review by Dom J.