Apicoectomy in Memphis, TN

A root canal removes the infection from a tooth, but the root of the tooth has multiple tiny branches where the infection may hide or return. If a tooth is still infected or gets another infection after a root canal has been completed, an apicoectomy may be suggested. Drs. Harris, Wells, Scott, Cain, Dagen, and McCreary perform this procedure at Memphis Endodontics. An apicoectomy takes out any infected tissue along the tooth's root, in addition to the affected root tip(s). Also known as a root-end resection or endodontic microsurgery, an apicoectomy may save the upper portion of the tooth to avoid disturbing a restoration, like a bridge or crown. After one (or more than one) root canal, contact Memphis Endodontics at one of our locations in Kirby, Collierville, Bartlett, or Memphis, TN to get a better solution with an apicoectomy.

An apicoectomy offers several benefits for preserving your natural tooth and preventing further dental issues:

  • Eliminates Persistent Infection: Targets and removes the infected tissue at the root tip, resolving ongoing infection
  • Saves the Natural Tooth: Helps preserve the natural tooth structure, avoiding the need for extraction
  • Prevents Future Complications: Reduces the risk of future dental issues by sealing the root canal and preventing reinfection
  • Minimally Invasive: Typically performed with minimal discomfort and a quick recovery time

Prior to performing a treatment, one of our team members will assess your mouth and then discuss your choices before deciding on an apicoectomy. To start the treatment, local anesthesia will be used. Other sedation techniques may be available depending on the complexity of your treatment or if you have dental anxiety and fears. One of our endodontic specialists will begin by creating an incision in your gum tissue to expose the root of the tooth. The infected tissue and root tip will be addressed before the area is carefully and thoroughly cleaned. To ensure the infection is completely removed, a dental dye can highlight cracks in your tooth. As soon as your tooth is sealed, we will close the gums using sutures.

Following the procedure, you may get a prescription for pain medication or antibiotics. You can apply cold compresses to reduce inflammation for the first day after your apicoectomy. You might have some soreness, bruising, or numbness for 3 – 5 days. We will give you instructions for your recovery. For faster healing, you should avoid aggressive cleaning and hard foods. You may need to come back to our office in a few days to have your stitches taken out. Typically, your teeth and gums should heal around two weeks after the apicoectomy. To minimize further problems, you should follow an oral care routine at home with frequent brushing and flossing. In addition, you need to go to yearly dental examinations and twice yearly cleanings at Memphis Endodontics, so we can monitor your dental health and treat problems early.

If you are looking for a great Endodontist, look no further because Dr. Scott and his team at Memphis Endodontics Collierville are PHENOMENAL! This was my first root canal procedure and I was a little nervous about this appointment. However, from the minute I began talking to Cher and Dr. Scott, I was instantly at ease. They were so kind, caring, and just overall AMAZING!! Dr. Scott thoroughly explained to me what to expect about the procedure and was very mindful about the tooth pain I was experiencing during his examination. You can tell that he really cares about his patients. I hope I don’t have to return anytime soon, but if I do, I know that I am in great hands. Thank you for turning an unpleasant experience into a pleasant one!

N.N. Google

I was referred to Memphis Endodontics By my primary dentist. I called because of how far out the appointment was booked, and they got me in the next day at their Collierville location. Upon arriving, I checked in and was introduced to Dr. Scott. They promptly started reviewing my case. To say I was a little nervous was an understatement. Dr. Scott and his team found out it was my birthday, and we made some jokes about what a wonderful birthday present. But honestly, the experience was phenomenal. I had to keep myself from falling asleep during the procedure. It was so easy, and he explained everything every step of the way. He had a new hire he wad training, and he was very detailed and explained everything he was doing. I was very impressed with his teaching. I will refer people to Dr. Scott and his team. Hopefully, I will not be back anytime soon except to visit :-) Thank you again for making a not-so-pleasant experience wonderful and taking all my pain away.

K.R. Google

Dr. Wells, Lauren, Sharron, Kristen and the entire staff of Memphis Endodontics were knowledgeable and kind. They made what most perceived to be very unpleasant procedure not that unpleasant. The decor really transports you, not only away from a doctor’s office, but out of Memphis. You really feel like you’re at a calming cabin retreat!

W.P. Google

This was the best experience ever! From meeting the receptionist Shannon (sweet and patient)via phone to scheduling my appointment then going to the office for the 1st time for consultation. Dr Wells is amazing and does tremendous work! He walked me through every step and I mean every step of my root canal to make sure I was comfortable and less nervous! He is truly passionate about what he does and his assistant Lauren as well! They really work great as a team! I would indeed recommend Dr. Wells to anyone in need of a root canal (I am very pleased)! Thank you, thank you, thank you! Sarah B

W. Google

Dr. Scott did an amazing job with both root canals. I'll never let a regular dentist perform a root canal again. Memphis Endodontics Park and Mt Moriah location is the best in town. The staff on White Station is superb! They are kind, caring and considerate. Tara is an angel. Raven is a sweetie pie and Stacy is that girl! Dr. Scott you and your team got me for life!

S.W. Google

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Candidates for an apicoectomy should have already had a root canal treatment, but the infection has remained or returned in the root tips. When you have a root canal, a bridge or crown may be placed to strengthen and protect the tooth. This can make another root canal or retreatment difficult if an infection is found since it could weaken or destroy the crown or bridge. In these cases, an apicoectomy at Memphis Endodontics may be the best treatment to remove the existing infection while also preventing other infections.

How long is the recovery time after an apicoectomy?

Recovery time can vary, but most patients experience improvement within a few days to a week. You may have some swelling and discomfort, but following your dentist's aftercare instructions will help ensure a smooth recovery.

Are there any risks or complications associated with an apicoectomy?

As with any surgical procedure, there are potential risks, including infection, bleeding, or damage to surrounding teeth or nerves. However, these complications are rare, and your dentist will discuss any concerns with you prior to the procedure.

Will I still need follow-up treatments after an apicoectomy?

Follow-up appointments are typically necessary to monitor healing and ensure that the infection has resolved. Your dentist will provide guidance on any additional treatments or dental care needed after the procedure.

Can an apicoectomy be performed on any tooth?

An apicoectomy can be performed on most teeth, but the procedure is more commonly done on molars and premolars due to their complex root structures.

Are there any alternatives to an apicoectomy?

In some cases, extracting the tooth may be the only alternative, but your dentist will discuss all treatment options with you.

Can an apicoectomy fail?

Although rare, an apicoectomy can fail, especially if the infection persists or the tooth fractures. Additional treatment or extraction may be necessary.

If your tooth becomes reinfected after one or more root canals, an apicoectomy at Memphis Endodontics could be the ideal solution. This procedure effectively removes the infection from the tips of the tooth root without disturbing any dental restorations, such as crowns or bridges. For more information, contact one of our offices in or around Memphis, TN to schedule a consultation with one of our endodontic specialists.

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