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In some cases, root canal therapy may fail to resolve a dental infection. Apicoectomy is a conservative retreatment that removes the tip of the root canal along with the infected tissue.

How an apicoectomy can help if root canal treatment didn't 

  • Conservative Treatment—unlike surgeries which completely remove one or more roots, apicoectomy only removes a portion of the root tip. Preserving the most dental tissue possible is always preferable.
  • More Accurate Treatment—root canals are notoriously complex systems. During the initial treatment, it can be difficult to remove infected tissue from tiny branches of the root tip (apex). Directly accessing the area can be more effective.
  • Maintains Restorations—repeating root canal treatment can weaken a dental filling or dental crown. Apicoectomy leaves restorations completely undisturbed.

Is treatment expensive?

Apicoectomy typically costs between $900-$1,300 without insurance and $100-$500 out-of-pocket under a typical dental plan. Your dentist might determine that the only alternative is extraction, which can cost $75 to $200. After extraction, you will need to replace the missing tooth. A single dental implant ranges from $1,600-$2,200, not including the dental crown. Traditional bridges cost between $500-$1,200 per artificial tooth, but this solution will require alteration of healthy teeth and cannot stop the bone atrophy that follows tooth loss.

But is it really effective?

As a relaiable alternative to recurring treatment modern apicoectomy has a 94% success rate according to the Journal of Endodontics.

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What to expect during the procedure

  • Your endodontist will first numb the treatment area. You might also receive medication to help you relax.
  • The doctor will then make a small incision in the gums near the tooth.
  • Infected tissue will be removed, including the very end of the root.
  • The doctor will place a small dental filling at the end of the root. This seals the canal and prevents reinfection.
  • To complete the procedure, the dentist will use a small number of sutures to close the gum tissue.
John F. Rink DDS, AAACD

Some patients may need a second root canal treatment instead. In other cases, extracting the tooth is the best option. Other types of endodontic surgery, such as root amputation, could also be recommended.

If root canal therapy has failed to restore your oral health, apicoectomy might be a viable alternative to extraction. Contact a doctor today to learn more about the best way to protect your smile.

Practice Policy Update Regarding COVID-19 View Update Virtual Consultation

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YOUR TREATMENT PLAN

To Our Family of Patients,

After much thought and concern for the health of our patients and team, I would like to share with you my thoughts on how the Coronavirus outbreak in the United States can best be managed at our practice. The key issue is prevention. Social distancing is the best solution at this time to prevent the spread of the virus.

Therefore, in conjunction with the South Carolina Dental Association recommendations, I have decided to close our normal practice operation with the exception of emergency and urgent care situations, through the end of March, 2020. I will be available for you and your family for emergency and urgent needs. Please call my personal cell phone if you have any questions or if you need an office visit. I am here for you.

After we have weathered this storm, we will be here to see that you continue to have the excellent care that you and your families deserve. We thank you for the trust that you place in our practice. We look forward to a long and healthy relationship in the future.

My cell phone number: 843-224-0517

To Your Good Oral and Systemic Health!

- Dr. John F. Rink, DDS, AAACD

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