Apicoectomy in Oxnard
If you had a root canal and the tooth still aches, feels tender when you bite, or shows signs of infection on an X-ray, you may be wondering whether the tooth can still be saved. For many patients, an apicoectomy offers another option before extraction. At 805 Dentistry, we help patients from Oxnard and across Ventura County understand this procedure clearly so they can make a confident decision about their smile.
An apicoectomy is a minor surgical procedure that treats a problem at the very tip of a tooth's root, called the apex. When infection or inflammation persists near the end of a root after a root canal, a standard cleaning through the top of the tooth may not reach the source. During an apicoectomy, we access the root tip through the gum tissue, remove the inflamed or infected tissue along with the end of the root, and seal the root end.
Our team includes a board-certified endodontist, a specialist focused on the inside of the tooth and its roots. That training matters for a precise procedure like this one. Because our practice offers endodontics alongside general dentistry, many Oxnard patients can have their evaluation, treatment, and follow-up care coordinated by one team in one place.
An apicoectomy is often considered when a tooth that has already had a root canal develops ongoing symptoms. In some cases, a root canal retreatment is the right first step, and we perform those as well. In other cases, the shape of the root, an existing crown or post, or the location of the problem makes it better to treat the root tip directly.
To find the right approach, we start with careful imaging. We offer CBCT imaging and other 2D and 3D dental imaging, and we have a board-certified oral and maxillofacial radiologist on staff. These detailed views help us see the root and surrounding bone. We also look for issues such as cracked teeth, which we treat, so you understand all your options before choosing a path forward.
Why would I choose an apicoectomy instead of pulling the tooth?
Many patients choose an apicoectomy because it can allow them to keep their natural tooth. Keeping your own tooth helps preserve your natural bite and avoids the need for a replacement.
Here is what patients often appreciate about the procedure:
- It addresses the problem at the root tip when other approaches may not reach it
- It can help preserve your natural tooth rather than removing it
- It often leaves your existing crown or restoration in place
- Our endodontist and radiology team plan your care using detailed imaging
That said, an apicoectomy is not right for every tooth. If we find that a tooth cannot be saved, we will explain why and talk through options we provide, such as dental implants, bridges, or partial dentures. Our goal is an honest recommendation you can trust.
What happens during the procedure, and will I be comfortable?
Most patients are comfortable throughout their apicoectomy because we numb the area thoroughly before we begin. After that, we make a small opening in the gum near the root, remove the infected tissue and root tip, seal the end of the root, and place stitches to help the gum heal.
If you feel anxious about dental surgery, we can help. We have a board-certified dental anesthesiologist on staff and offer nitrous oxide, oral sedation, IV sedation, and general anesthesia. We will talk through which option fits your needs and health history. For Oxnard patients dealing with sudden pain or swelling, we also offer same-day emergency appointments through our endodontic services.
How should I care for my mouth after an apicoectomy?
Before you leave, we will give you clear aftercare instructions and review them with you. Some tenderness and swelling in the treated area are common in the first few days, and we will explain how to manage them.
Patients are typically advised to choose soft foods, chew on the opposite side, and brush and rinse gently around the area while it heals. We will schedule a follow-up visit to check your healing, and we may take imaging over time to monitor the area around the root. If anything feels unusual, call our office so we can help.
How can I pay for an apicoectomy?
We work to make treatment manageable. We accept all major PPO insurance plans, and because our endodontic services are filed with insurance as specialist care, our team will help you understand how your plan applies.
If you don't have dental insurance, we welcome self-pay patients, and financing is available to help spread out the cost. You don't need a referral to see our endodontist, so Oxnard patients can contact 805 Dentistry directly to schedule an evaluation. Under Dr. Dar Radfar's leadership, we look forward to helping you keep your natural smile.