Root End Surgery (Apicoectomy) in Boynton Beach, FL
Advanced Endodontic Care for Persistent Tooth Infections
At South Palm Dental, we provide root end surgery, also known as apicoectomy, to resolve infections that persist after a traditional root canal. This microsurgical endodontic treatment allows us to preserve your natural tooth and eliminate recurring discomfort. Patients throughout Boynton Beach, Delray Beach, Gulf Stream, and Boca Raton trust us for precision care when conventional options are no longer effective.

What Is an Apicoectomy?
An apicoectomy is a minor surgical procedure that removes the tip (apex) of a tooth’s root along with the surrounding infected tissue. It is recommended when an infection or inflammation remains after root canal therapy, often due to complex root anatomy or hidden canals that were not accessible during the initial treatment.
This surgery is usually the last effort to save a tooth before extraction becomes necessary.
When Is Root End Surgery Necessary?
You may benefit from an apicoectomy if:
- You’ve had a root canal, but infection symptoms return
- A dental cyst or abscess has formed at the root tip
- Structural issues or previous restoration limits access to retreatment
- Imaging reveals hidden fractures or untreated anatomy
Dr. Luis Franceschi and Dr. Mary-Helen Habib evaluate each case thoroughly using digital diagnostics and CBCT imaging to determine if root end surgery is the most effective approach.
What to Expect During the Procedure
Root end surgery is performed under local anesthesia and may include light sedation if needed:
- Accessing the Root Tip: A small incision is made in the gum near the tooth to expose the bone and root end.
- Removing Infected Tissue: The infected root tip and surrounding tissue are carefully removed.
- Sealing the Root: A small retrograde filling is placed at the end of the root to prevent further infection.
- Healing and Recovery: The gum is sutured, and healing typically occurs within a few weeks. Most patients return to normal activities within a day or two.
Benefits of Root End Surgery
- Preserves your natural tooth
- Stops recurring infections
- Avoids more invasive extraction procedures
- Restores comfort and function
- Supports long-term oral health
Why Choose South Palm Dental?
With over 35 years of clinical excellence, 230+ surgical procedures performed, and more than 500 five-star reviews, South Palm Dental is trusted for delivering precision and compassionate care. Our team uses advanced technology and modern techniques to ensure your comfort and confidence throughout the apicoectomy process.
Frequently Asked Questions
Is an apicoectomy painful?
You will be fully numb during the procedure. Mild post-op discomfort can be managed with over-the-counter medications.
How long does the procedure take?
Most apicoectomies are completed in under an hour, depending on the tooth's location and complexity.
Can I return to work after surgery?
Many patients resume light activity the next day. We provide personalized aftercare instructions to promote smooth healing.
Will I need a crown afterward?
If your tooth already has a dental crown, it will remain in place. No new restoration is usually needed after root end surgery.
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Book Your Apicoectomy Consultation Today
Don’t let unresolved tooth pain disrupt your life. South Palm Dental provides expert root end surgery to help you preserve your natural teeth and protect your oral health. Contact us today to schedule your evaluation.