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Apicoectomy in Wellesley, MA

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The goal of a root canal is to fully remove the infection from a treated tooth; however, the root of the tooth may have multiple tiny branches where the infection may hide or come back. If your tooth is still infected or gets another infection after your root canal therapy is performed, Wellesley Aesthetic Dental Group usually suggests an apicoectomy. A long-lasting solution, an apicoectomy removes any infected tissue around the root of the tooth, plus the needed root tip(s). Also referred to as endodontic microsurgery, an apicoectomy can save the upper area of the tooth to avoid disturbing a restoration, like a bridge or crown. If you have had one or multiple root canal treatments, contact our Wellesley, MA office to try a better solution with an apicoectomy.

An ideal candidate for an apicoectomy should have had a root canal, but the infection has remained or returned in the root tips. When you have a root canal procedure, a crown or bridge may be used to strengthen and protect the treated tooth. This can make another root canal or retreatment difficult if the root tips are infected since it may destroy or weaken the crown or bridge. If you have a restoration, an apicoectomy at Wellesley Aesthetic Dental Group may be the best way to eliminate the existing infection and prevent future infections.

I originally came to Dr Rafla in 2021 for an implant. I live in CT and I wasn't able to get an appointment in my area. Dr Rafla was recommended so I called. I got an appointment with a couple days. The implant was perfect and Dr Rafla is amazing. I have a dentist in Connecticut but I continue to see Dr. Rafla every six months for a cleaning and check up. The hygienists do an amazing job. My cleanings at Dr Rafla's office just feel cleaner than my regular dentist. I end up paying out of pocket, but it's worth it for the cleaning and the check up.

J.K. Yelp

Dr. Lee did an outstanding job on my 2 crows. Her assistant Jessica was very helpful during the procedure. Elizabeth is a wonderful hygienist and very knowledgeable. Liz at the desk was very helpful regarding my dental insurance questions. The Wellesley Office location is clean, bright, parking is available on-site with multiple spots. Office provide friendly environment. Thank you.

Anonymous Vitals

Second root canal I have had with her. She is terrific!!

S.C. Google

Today was my first experience with Dr. Rafla and his wonderful, efficient, but most of all kind staff. I went to this very much dreaded appointment with no idea of what to expect. My poor teeth are so sore and they are making everything difficult. I have horrible gagging reflex which makes everything harder for those that are trying to take x rays to be able to guide me into having a proper diagnosis and treatment. Trust me when I say I was a difficult patient. I expected the doctor to say there wasn’t much hope for them. Instead after reviewing what I was giving him to work with he listed off the perfect game plan. All aspects would be easier on me and my issues and seem to offer a perfect solution. I hope Coach Bill Belechick has competition in writing a game plan. Dr Rafla can give him a run for his money. In no time at all Dr. Rafla had a plan devised to ease my pain and fix the pockets in my gums. I am anxious now to correct these problems and move forward with the plan Thank you Dr. Rafla and team for being both gentle and kind with me today.

D.W. Google

I had a few root canals done at my dentist and then the teeth cracked and needed to be extracted. I lived with the missing teeth till I found Dr Rafla and he explained that I needed a bone graph since it they had been missing so long..that took six months for the bone to regenerate and give him the depth for the implants...the implants were painless and done correctly I have been going back to them for 2 yrs to monitor the implant, check my receding gums and get a extensive cleaning every 6 months. I was then able to go back to my doctor and get Invisalign treatment. Without Dr Rafla this would not be possible. Yes I could have bought a new car, but I also could have had dental problems the rest of my life..I now don't worry and my smile is straight again.

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To perform an apicoectomy, local anesthesia will be used to help you remain comfortable. We will begin by making an incision through the gum tissue to reveal the root of the tooth. Any infected tips and surrounding tissue will be addressed before the area is cleaned with special instruments. To ensure the infection is completely removed, a dental dye will highlight cracks in your tooth so we can be sure to treat those areas. When the tooth canal is cleaned and sealed, we will close the gums with sutures.

After your procedure, we may write a prescription for antibiotics or pain medication. You can use cold compresses to reduce swelling for the first few hours after your apicoectomy. You may experience some bruising, soreness, or numbness for several days. This is normal and will subside on your own. However, feel free to take nonprescription pain medication if you need help easing any pain. We will go over instructions for your recovery in detail, so you know what to expect and how to clean your mouth. While you are healing, you should avoid aggressive cleaning and hard foods. You may need to return to our office a few days later to have your stitches taken out. Typically, your teeth and gums should heal about two weeks after your treatment. To minimize future problems, you should follow a good at-home dental care routine that includes daily flossing and twice-daily brushing. In addition, you need to attend annual dental examinations and bi-annual professional cleanings at Wellesley Aesthetic Dental Group, so we can continue to monitor your dental health and treat issues early.

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Is There Insurance Coverage for Apicoectomies?

In most cases, an apicoectomy should be covered partially by your dental insurance policy. Our team will contact your insurance company to determine your personal costs. For patients without insurance and out-of-pocket costs, Wellesley Aesthetic Dental Group accepts many payment methods. During your initial consultation, we can provide information on low-interest medical financing that may help make your treatment fit into your budget better.

If your tooth infection remains even though you've had one or several root canals, an apicoectomy at Wellesley Aesthetic Dental Group could be a lasting solution. An apicoectomy removes the infection from the root tips without affecting restorations (bridges and crowns). For more information or to schedule a consultation, contact our office in Wellesley, MA.

*Individual results are not guaranteed and may vary from person to person. Images may contain models.