Apicoectomy, also known as root end surgery, is a dental procedure performed to treat infections or inflammations in the very tip of a tooth's root. It involves removing the infected tissue and sealing the end of the root to prevent further damage. 

Who Needs an Apicoectomy? 

An apicoectomy in Morristown, NJ, is usually recommended when other dental treatments have failed to address the issue fully. 

Persistent Infection

One category of patients who may require an apicoectomy are individuals who have undergone a previous root canal treatment but continue to experience persistent infection or inflammation in the tooth. In some cases, there may be hidden canals or unusual anatomy that makes it difficult for traditional root canal therapy to completely eliminate the problem. 

Root Cavities or Fractures 

Another group of patients who might benefit from an apicoectomy are those with deep cavities or fractures near the tip of the tooth's roots. These conditions often pose challenges for conventional fillings or crowns since they do not provide adequate access to clean and seal off the affected area. 

Medical Conditions 

People with certain medical conditions, such as diabetes or compromised immune systems, may also be candidates for this procedure because they tend to have a higher risk of developing dental infections that do not respond well to standard treatments. 

Our qualified dentists, Dr. Fang and Dr. Shon, can determine if a patient truly needs an apicoectomy following a consultation. They will thoroughly evaluate each patient's unique situation and recommend appropriate treatment options based on their findings. So, if you're dealing with ongoing dental issues despite prior interventions, it may be worth discussing this procedure with us. Contact us today! 

The Apicoectomy Procedure: Step by Step 

An apicoectomy in Morristown, NJ, aims to save a tooth by removing infected tissue from the root tip and sealing it. The step-by-step guide below will give you an insight into what happens during the procedure. 

  1. Local anesthesia: Before starting, our dentist in Morristown, NJ, will administer local anesthesia to ensure you are comfortable throughout the process. 
  2. Incision: A small incision is made in the gum tissue near the affected tooth, allowing access to the underlying bone and root tip. 
  3. Removal of infected tissue: The dentist carefully removes any infected tissues and cleanses the area around the root tip using special instruments. 
  4. Root tip resection: In some cases, a portion of the root tip may need to be removed to eliminate any remaining infection or cysts. 
  5. Filling and sealing: Once all diseased tissues are removed, the dentist seals off the end of the root with a biocompatible material such as gutta-percha and places sutures if necessary. 
  6. Follow-up visit: After completion of an apicoectomy, you may be required to visit our dentist in Morristown, NJ, for a follow-up appointment so they can monitor healing progress and remove sutures if needed. 

Remember that each case is unique, so this step-by-step guide may vary based on individual circumstances. Always consult with the dentist for personalized information about your specific situation.

Recovery and Aftercare 

After undergoing an apicoectomy in Morristown, NJ, proper recovery and aftercare are crucial for optimal healing. Here are key points on the recovery and aftercare for apicoectomy: 

Immediate Post-Procedure Care 

  • Rest and relaxation: Plan to rest for the remainder of the day after the procedure. 
  • Avoid physical exertion: Refrain from strenuous physical activities for a few days to allow the body to focus on healing. 

Pain Management 

  • Prescribed medications: Take any prescribed pain medications as directed by our dentist or oral surgeon. 
  • Over-the-counter pain relievers: If recommended, over-the-counter pain relievers can be used according to the dentist’s instructions. 

Swelling and Ice Packs 

  • Ice application: Applying an ice pack to the affected area during the first 24 hours can help reduce swelling. 
  • Alternate sides: Use ice for 20 minutes on, then 20 minutes off, alternating sides of the face. 


  • Soft diet: Stick to a soft or liquid diet for the first few days to avoid putting pressure on the treated area. 
  • Avoid hard foods: Steer clear of hard, crunchy, or chewy foods that may irritate the surgical site. 

Oral Hygiene

  • Gentle rinsing: Follow any specific rinsing instructions provided by our dentist. 
  • Avoid vigorous brushing: Avoid brushing the surgical site for the first few days, and when you resume, do so gently. 

Follow-Up Appointments 

  • Scheduled visits: Attend any scheduled follow-up appointments with our dentist. 
  • Monitoring healing: Follow-up appointments are crucial for monitoring the healing process and ensuring that no complications arise. 

Avoid Smoking and Alcohol 

  • Stop smoking: If you smoke, consider refraining from smoking during the recovery period, as it can hinder healing. 
  • Limit alcohol: Moderation in alcohol consumption is advisable. 


  • Adequate sleep: Ensure you get sufficient rest to support the body's natural healing processes. 
  • Contact the dentist if there are any signs of concern: If you experience severe pain, swelling, persistent bleeding, or any other signs of concern, contact the dentist promptly. 

Following these guidelines and adhering to the specific instructions provided by our dentist in Morristown, NJ, will contribute to a successful recovery after an apicoectomy. 

Experience top-tier oral care atMorristown Oral Surgery & Implantology Associates. Our dedicatedteam at 290 Madison Avenue, Ste 1A, Morristown, NJ 07960, is committed to providing you with exceptional care and transformative dental solutions.Contact us at (973) 538-5338 to schedule your appointment and discover the path to a healthier, happier smile.


290 Madison Avenue, Ste 1A,
Morristown, NJ 07960

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