Apicoectomy in West Hills
An apicoectomy is a small surgical procedure that treats infection or inflammation at the very tip of a tooth's root, where a standard root canal cannot always reach. For many patients, it can be a way to keep a natural tooth that might otherwise need to be removed. Our team at 805 Dentistry offers this treatment for patients throughout West Hills and the surrounding communities. Our office includes a board-certified endodontist, which means root-related care can happen in the same practice our families already know.
When a tooth's nerve becomes infected, the usual first step is root canal therapy. In this procedure, the inside of the tooth is cleaned and sealed. Most of the time, that is enough. But tooth roots can be complex. Some have tiny branching canals, curves, or areas near the root tip that cleaning from inside the tooth cannot fully address. When inflammation lingers at the end of the root, an apicoectomy approaches the problem from a different direction.
During the procedure, our endodontist makes a small opening in the gum tissue near the affected root. Through this opening, we remove the inflamed or infected tissue along with the very tip of the root. We then clean and seal the end of the root with a small filling, place stitches, and let the area begin to heal. Because the work is focused on one small area, the procedure is precise and targeted rather than broad.
Patients from West Hills may be candidates for an apicoectomy in several situations. One example is a tooth that already had a root canal but still causes discomfort or shows signs of infection. Another is a tooth with an unusual root shape. A third is a tooth with an existing crown or post that would be difficult to remove for a root canal retreatment. In some cases, retreatment is still the better first option. Our endodontist performs both procedures, so we can talk honestly about which approach fits your tooth.
To make that decision, we rely on detailed imaging. Our practice provides CBCT imaging along with 2D and 3D dental imaging. A board-certified oral and maxillofacial radiologist on our team helps interpret those scans. This gives us a clear look at the root, the surrounding bone, and any problem areas before we recommend treatment. You also do not need a referral to see our endodontist. If you live in West Hills and suspect something is wrong with a previously treated tooth, you can contact us directly.
What should I expect before, during, and after the procedure?
You can expect a careful evaluation, a focused procedure, and clear instructions for recovering at home. Your visit begins with an exam and imaging so we understand exactly what is happening at the root. We will explain what we find, walk you through your options, and answer your questions before anything is scheduled.
On the day of treatment, we numb the area so you stay comfortable. If dental visits make you anxious, our board-certified dental anesthesiologist can offer nitrous oxide, oral sedation, IV sedation, or general anesthesia, depending on what suits you. Here is a general overview of the process:
- A thorough exam and imaging to locate the source of the problem
- Local anesthesia, with sedation available if you need it
- A small opening in the gum to reach the root tip
- Removal of inflamed tissue and the end of the root
- Sealing the root end and placing stitches
- Written aftercare guidance and a follow-up visit to check healing
After the procedure, some tenderness or swelling is common. We will give you specific instructions for your situation. These often include applying a cold compress, choosing softer foods, and keeping the area clean as directed. Your follow-up appointment lets us confirm that the area is healing as expected.
Why choose our office if I live in West Hills?
We bring specialist-level root care and the convenience of a family practice together in one place. Many West Hills households want one dental team they can trust for routine cleanings, children's visits, and more advanced care. We are a one-stop shop for the whole family, and we see patients of all ages.
If a tooth flares up unexpectedly, our endodontic team offers same-day emergency appointments. We also treat cracked teeth and traumatic dental injuries. Our on-site dental lab helps us coordinate any restorative work your tooth may need afterward.
How can I pay for an apicoectomy?
We work with all major PPO insurance plans and file endodontic claims as a specialist office. Our team can help you understand your coverage before treatment begins. We also welcome self-pay patients and offer financing for those who prefer to spread out the cost of care.
If you are in West Hills and have questions about a tooth that is not healing as it should, reach out to our office. We are happy to schedule an evaluation and help you decide on your next step.