Apicoectomy in Greenbrae, CA
Precision Root-End Surgery by Oral Surgery Experts
If you’ve had a root canal but are still experiencing symptoms like pain, swelling, or infection near the tooth root, an apicoectomy may be necessary. This microsurgical procedure removes the infected root tip and surrounding tissue to preserve your natural tooth.
At Mynsberge, Ruggles & Yang Oral Surgery in Greenbrae, CA, our board-certified oral surgeons perform apicoectomies with advanced imaging, surgical precision, and a focus on patient comfort. We welcome patients from across Marin County, including San Rafael, Corte Madera, Larkspur, and Mill Valley.
What Is an Apicoectomy?
An apicoectomy, or root-end resection, is a minor oral surgery performed when a previously root-canaled tooth fails to heal or becomes re-infected. Rather than removing the entire tooth, the surgeon removes:
- The tip of the tooth’s root
- Any inflamed or infected tissue
- Seals the end of the root to prevent future issues
It’s often the last step to save a natural tooth and avoid extraction.
When Is an Apicoectomy Needed?
You may be a candidate for apicoectomy if:
- You’ve had one or more failed root canals
- There is a persistent abscess or cyst at the root tip
- You want to preserve a tooth that still has healthy structure
- A conventional root canal retreatment is not possible
If a tooth cannot be saved, your oral surgeon may recommend a tooth extraction followed by dental implant placement.
Our Surgical Process
Step 1: Diagnosis & Imaging
We begin with a consultation and 3D cone beam CT scan to assess the root structure and surrounding bone.
Step 2: Sedation & Comfort
The area is numbed with local anesthesia. For nervous or anxious patients, we offer IV sedation options for a stress-free experience.
Step 3: Surgical Procedure
A small incision is made in the gum near the affected root. The root tip and infected tissue are removed, and the end of the root is sealed with a biocompatible material.
Step 4: Recovery & Follow-Up
The incision is closed with sutures, and healing begins. Most patients resume normal activities within a day or two.
Benefits of Apicoectomy
- Saves your natural tooth
- Minimally invasive
- Eliminates chronic infection
- Prevents the need for extraction and replacement
- Performed comfortably in our in-office surgical suite
Why Choose Us for Apicoectomy?
Our oral and maxillofacial surgeons are trained in microsurgical techniques and use high-resolution 3D imaging to improve accuracy and outcomes.
At Mynsberge, Ruggles & Yang Oral Surgery, we provide:
- Board-certified surgical expertise
- Hospital-grade anesthesia options
- A fully equipped, licensed surgical facility
- Coordinated care with your general dentist or endodontist
Want to learn more about our team? Meet our surgeons.
Schedule a Consultation for Persistent Tooth Pain
If you’ve had a root canal but still experience pain, infection, or swelling, an apicoectomy may be the right next step. We’ll evaluate your case, explain your options, and help you make the most informed decision.
Call (415) 461-1150 or schedule online.
FAQs About Apicoectomy Surgery
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Is an apicoectomy painful?
The procedure is performed under local anesthesia or IV sedation, so you won’t feel discomfort during the surgery. Mild soreness afterward is normal and manageable with medication.
How long does an apicoectomy take?
Most procedures take about 45 to 90 minutes, depending on the complexity.
What’s the success rate of an apicoectomy?
When performed by a skilled oral surgeon, apicoectomies have a high long-term success rate — often saving the tooth permanently.
How soon can I return to work or school?
Most patients resume normal routines within 24–48 hours after surgery.
Will insurance cover the procedure?
Coverage varies. Visit our Insurance & Finance page for information on costs, coverage, and payment options.
Trusted Surgical Care in Marin County
Technology plays a vital role in how we plan, perform, and support every treatment we offer. At Mynsberge, Ruggles & Yang Oral Surgery, our goal is to give you a smooth, safe, and informed experience — powered by the latest innovations in oral surgery.
1331 South Eliseo Drive, Suite 1
Greenbrae, CA 94904