Apicoectomy in Stillwater, MN

Expert Apicoectomy Treatment for Persistent Infections

At River Valley Endodontics, Dr. Ernest Reeh specializes in microsurgical apicoectomy procedures to target infections at the root tip while preserving as much natural tooth structure as possible. Using advanced imaging and precision surgical techniques, we ensure a minimally invasive, effective solution for patients in Stillwater, Oak Park Heights, Bayport, Lake Elmo, and Grant, MN.

What Is an Apicoectomy?

An apicoectomy, also known as root-end surgery, is a microsurgical procedure that removes the tip of an infected tooth root and seals the area to prevent further complications. This treatment is typically recommended when:

• A previous root canal has not fully eliminated an infection
• The root structure is complex or inaccessible for standard retreatment
• A cyst or chronic infection has developed around the root tip
• The tooth has tiny fractures or hidden canals that harbor bacteria

Unlike a traditional root canal, which treats infection from inside the tooth, an apicoectomy removes the infection from the outside, making it an effective last-resort effort to save the tooth before considering extraction.

Signs You May Need an Apicoectomy

If a previously treated tooth is still causing discomfort, you may need an apicoectomy. Symptoms that indicate the need for surgical intervention include:

• Persistent pain in a tooth that has already had a root canal
• Swelling or tenderness in the gums near the affected tooth
• Recurring abscesses or a pimple-like bump on the gums
• Bone loss around the root tip seen on X-rays
• Difficulty chewing or pressure sensitivity in the treated tooth

Ignoring these symptoms can lead to further infection, bone damage, and eventual tooth loss, making early intervention essential.

The Apicoectomy Procedure

At River Valley Endodontics, we use microsurgical techniques to ensure a precise, minimally invasive procedure. Here’s what you can expect:

1. Advanced Diagnosis

Using 3D imaging and digital X-rays, we assess the extent of the infection and determine whether an apicoectomy is the best option for your tooth.

2. Local Anesthesia & Sedation

We ensure your comfort with local anesthesia, and for anxious patients, we offer sedation dentistry options to help you feel relaxed during the procedure.

3. Removing the Infection & Root Tip

A small incision is made in the gum near the affected tooth to access the root tip. The infected tissue and a small portion of the root are carefully removed to eliminate bacteria and prevent reinfection.

4. Sealing the Root & Encouraging Healing

The end of the root canal is sealed with a biocompatible material, and the area is sutured to promote healing. Over time, the bone around the tooth will regenerate, ensuring a strong foundation.

Benefits of an Apicoectomy

• Eliminates persistent infection when a standard retreatment is not enough
• Preserves your natural tooth, preventing the need for extraction
• Minimally invasive with a quick recovery time
• Prevents further bone loss and oral health complications
• High success rate, ensuring long-term tooth stability

Why Choose River Valley Endodontics for an Apicoectomy?

• Expert Microsurgical Care – Dr. Ernest Reeh has decades of experience in endodontic surgery, ensuring precise and effective treatment.
• Advanced Technology – We use high-resolution 3D imaging and microsurgical instruments for better accuracy and outcomes.
• Patient Comfort is Our Priority – With sedation options and gentle care, we make sure your procedure is stress-free.
• Dedicated to Saving Natural Teeth – We focus on preserving your original tooth structure whenever possible.