Expert Gaithersburg Endodontic Surgery (Apicoectomy)
Advanced microsurgical care to eliminate persistent infection and save your tooth
What is an apicoectomy?
An apicoectomy is a minor endodontic surgery that treats infection at the very tip of a tooth’s root. When a prior root canal can’t fully resolve the problem — or a canal is blocked, calcified, or anatomically complex — our expert endodontist gently removes the infected root tip and surrounding tissue, then seals the root end to prevent reinfection.
If you’re searching for Gaithersburg endodontic surgery, our on-site specialist coordinates diagnosis, treatment, and follow-through; all under one roof.
Why patients consider root-end surgery
- NStops lingering pain and infection at the source
- NSaves a natural tooth that might otherwise be extracted
- NTargets hidden or inaccessible anatomy that retreatment can’t reach
- NProtects neighboring teeth and maintains your bite
- NPairs with precise imaging and microsurgical techniques for reliable outcomes
Your comfort comes first. Most people do well with local anesthesia, and sedation options are available.
Who benefits from an apicoectomy?
Persistent Symptoms After a Root Canal
Hidden, Curved, or Blocked Canals
Cracks or Lesions Near the Apex
When Retreatment Isn’t Feasible
Get a precise diagnosis first
Discuss your options during an endodontic consult
Meet our expert in-house endodontist for a focused exam, diagnostic tests, and CBCT 3D imaging when indicated. We’ll review your options (retreatment, apicoectomy, or extraction with replacement), explain timelines and costs, and plan for comfort.
Experience the Difference
In-House Endodontic Expertise
Diagnosis, surgery, and restorative coordination happen here. No referrals, fewer visits, tighter quality control.
CBCT-Guided Planning
High-resolution 3D imaging, ultrasonic tips, and bioceramic sealing materials support precise, conservative treatment.
Comfort-First Approach
Choose nitrous oxide, oral conscious sedation, or IV sedation. Gentle techniques and clear aftercare keep recovery straightforward.
Faster Protective Restorations
Our digital tools and in-house lab help streamline posts, cores, or crown updates if any protection is required after the procedure.
Evidence-Based Materials
We use modern biocompatible sealers and techniques designed for durable, long-term success.
How apicoectomy surgery works
Targeted tests, x-rays, and CBCT (when appropriate) identify the precise location and extent of infection.
2. Microsurgical Access
With the area completely numb, we make a small opening near the root tip, remove infected tissue and the apex, and prepare the root end.
3. Seal For Stability
We place a biocompatible root-end filling to block bacteria, then close the site with fine sutures.
4. Recovery & Follow-Up
Most patients return to normal routines quickly. We monitor healing and coordinate any needed restoration updates to protect the tooth long term.
More frequently asked questions about endodontic surgery
Is surgery painful?
How do I know if I need apicoectomy or retreatment?
How long is recovery?
What are the risks?
Will I need a new crown?
Is Gaithersburg endodontic surgery (apicoectomy) my only option?
Feel amazing about your oral health
“It was excellent! Dr. was highly skilled, meticulous, clear in his communications, attentive, and patient-centered. I barely felt the injection, and barely any discomfort. He could not have been better! Highly recommend!”
— Beth K.
We Accept Insurance
Specialty Dentistry at Gaithersburg accepts most major PPO insurance plans and will help maximize your benefits.
- Clear Estimates: You’ll get an upfront estimate detailing what your insurance plan may cover and any private pay portion, so there are no surprises.
- Paperwork? Handled. We quickly take care of filing claims and work to maximize your benefits.
- Questions? Contact us at (301) 869-1441 — our team is ready to help.
Finance your apicoectomy
Visit Us in Gaithersburg
6 Montgomery Village Ave,
STE 300
Gaithersburg, MD 20879
Mon-Thu: 8am–5pm
Fri: 8am–4pm
A smile you'll love from a team that cares
Experience comprehensive, specialized dental care in one convenient location. We offer flexible insurance and financing options to keep your experience stress-free and focused on you.