An apicoectomy is a precise, microsurgical procedure that removes the irritated or infected tip of a tooth’s root (the apex) and a small amount of surrounding tissue. The area is then cleaned, disinfected with laser assistance, and sealed to prevent reinfection—so you can keep your natural tooth.

A root canal treats the inside of the tooth from the top (non-surgical). An apicoectomy treats the root tip from the outside when anatomy is too complex or symptoms persist after non-surgical care.

You may be a candidate if you have persistent symptoms after a root canal/retreatment, calcified or curved canals that block treatment, a cyst/persistent shadow at the root tip, a tiny root-end crack or leak, or an inaccessible instrument near the apex.

With modern local anesthesia, most patients feel pressure—not pain—during treatment. Mild soreness afterward is common and usually managed with over-the-counter pain relievers.

Most apicoectomies take about 60–90 minutes in a single visit. Timing varies by tooth and anatomy; we’ll outline your plan at the consultation.

Expect mild swelling or tenderness for 24–72 hours; use a cold compress and soft foods at first. Avoid brushing directly on the site the first day and follow our gentle rinse instructions. Persistent or severe pain beyond 3 days, increasing swelling, or fever isn’t typical—please call (813) 359-9756.

If your tooth already has a well-fitting crown, it usually stays. If the tooth isn’t crowned, we’ll let you know whether a crown is recommended to protect it long-term.

As with any surgery, there’s a small risk of discomfort, swelling, or reinfection. With careful diagnosis (often 3D/CBCT), microscope guidance, laser assistance, and biocompatible sealing materials, apicoectomy can be highly successful; your exact prognosis depends on the tooth and surrounding bone.

Many dental plans contribute toward endodontic microsurgery. We’ll review your benefits and offer flexible options (e.g., CareCredit, Sunbit, Denefits) so cost is clear and manageable.