Root End Surgery in Jenkintown, PA
Advanced Endodontic Microsurgery Performed In-House
At Noble Dentistry, our in-house endodontist provides specialized root end surgery, also known as apicoectomy, for patients whose teeth cannot be fully healed with traditional root canal therapy. This advanced procedure targets infection at the root tip, helping save a tooth that might otherwise require removal. Our team uses modern technology and precise microsurgical techniques to ensure a predictable and comfortable treatment experience.

What Is Root End Surgery?
Root end surgery is a minor surgical procedure used to treat persistent infection or inflammation located at the tip of a tooth’s root. While a standard root canal treatment cleans the inside of the tooth, a root end surgery addresses issues that remain outside the canal or in complex root structures.
This treatment is ideal when a tooth continues to show symptoms despite previous endodontic care, or when anatomy makes retreatment ineffective.
Why Patients Need Root End Surgery
Root end surgery may be recommended when:
- Infection persists after a root canal
- The root canal cannot be safely retreated
- There is a fracture or hidden canal that was not visible during initial treatment
- A cyst or lesion is found at the root tip
- Calcium deposits make retreatment impossible
If the tooth cannot be saved through surgery, our team will review restorative alternatives such as dental implants or dental bridges.
Why Choose Noble Dentistry for Root End Surgery?
In-House Endodontic Specialist
Root end surgery is a highly technical procedure. At Noble Dentistry, our in-house endodontist is trained to perform microsurgical treatments with exceptional accuracy.
Technologically Advanced Care
Our practice uses enhanced imaging, magnification, and advanced surgical instruments to pinpoint infection and ensure the most effective outcome. These tools also support other services such as inlays and onlays and restorative dentistry.
A Comfortable Patient Experience
Patients who are anxious about surgery may benefit from sedation dentistry, available for added comfort throughout the procedure.
What to Expect During Root End Surgery
- The area is fully numbed with local anesthesia.
- A small opening is made in the gum tissue to access the root tip.
- Infected tissue and the end of the root are carefully removed.
- A biocompatible filling is placed to seal the end of the root.
- The area is cleaned and the gum tissue is sutured.
Most patients experience quick healing and are able to return to normal activities within a short period of time.
If pain or swelling occurs before treatment, our team can support you through emergency dentistry for prompt relief.
Regain Comfort With Expert Endodontic Care
Root end surgery can save your tooth and prevent more invasive treatments. Our experienced team provides gentle, comprehensive care in a warm, patient-focused environment.
Call 215-277-7880 to schedule your consultation today.
Frequently Asked Questions
When is root end surgery necessary?
It is recommended when an infection persists after a root canal, or when retreatment is not possible due to complex anatomy or blockages.
Is root end surgery painful?
The procedure is performed under local anesthesia. Patients who prefer additional comfort can choose sedation options.
How long is the recovery time?
Most patients heal within a few days and can resume normal activities quickly, though mild soreness is expected.
Will I still need additional treatment afterward?
In most cases, root end surgery resolves the issue. Your dentist will monitor healing at follow-up visits.
What if the tooth cannot be saved?
If the infection is too advanced, the next best options may include tooth extraction and replacing the tooth with a dental implant or bridge.
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Schedule Root End Surgery in Jenkintown, PA
If you’ve been told your root canal cannot be retreated or you’re experiencing persistent pain near a previously treated tooth, our endodontic specialist can help.
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