Revive your oral health through precise, root canal surgery

While most teeth can be saved through nonsurgical root canal treatment, in some cases surgical endodontic treatment is necessary. This is usually required when:

  1. Calcium deposits make a canal too narrow for the instruments used in nonsurgical root canal treatment to reach the end of the root. If your tooth has this “calcification,” endodontic surgery may have to be performed to clean and seal the remainder of the canal.
  2. Usually, a tooth that has undergone a root canal can last the rest of your life and never need further endodontic treatment. However, in a few cases, a tooth may not heal or become infected. A tooth may become painful or diseased months or even years after successful treatment. If this is true for you, surgery may help save your tooth.

This procedure involves the removal of the diseased tissue from the tip of the root, and the placement of a filling to seal the tip of the tooth, so that the bone may heal.

Although there are many surgical procedures that can be performed to save a tooth, the most common is an apicoectomy or root-end resection. When inflammation or infection persists in the bony area around the end of your tooth after a root canal procedure, an apicoectomy may have to be performed.


Root Amputation is another type of surgical procedure that is available to save your tooth. In this scenario, a single root of a multi-rooted tooth is removed (usually because it is cracked), and the remaining tooth is retained.



Request Appointment

Schedule An Appointment

Bellevue 425.562.9070 Renton 425.207.8677

Doctor Referrals

Referral Form