Our services

Apicoectomy & Microsurgery

Apicoectomy & Microsurgery in North Jersey

North Jersey Endodontic Group specialists perform precise apicoectomies at our Jersey City, Paramus, and Bloomfield offices. We use CBCT imaging and Zeiss microscopes for optimal results. This surgery removes infected root tip tissue when root canals fail due to persistent infection or fracture. Count on us to save your natural tooth with comfortable care.

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Advanced Imaging

NYU & Columbia-trained

Multiple NJ Locations

5.0

Based on 104 reviews

5.0

Based on 104 reviews

4.8

Based on 77 reviews

Root canal still hurting? Time for an apicoectomy.

If you’ve had a root canal and continue to have pain, the infection may be lingering deep in the root tip. Our North Jersey Endodontic Group experts use advanced microsurgery to remove the infected tissue, seal the root precisely, and save your natural tooth. This minimally invasive procedure effectively stops persistent pain and swelling, so you can eat, smile, and live comfortably again.

WHAT TO EXPECt

What it is: An apicoectomy is endodontic microsurgery performed when root canal treatment fails to fully eliminate infection at the root tip. We remove the infected root tip and surrounding tissue, then seal the area with a biocompatible material to prevent reinfection. This precise procedure often succeeds where standard treatments can’t and helps avoid extraction.

Our process

Exam & Imaging: We apply local anesthesia, and 3D CBCT pinpoint root tip infection.
Gum Access: Small incision is made for clear root access, minimal disruption.
Root Tip Removal: The infected tip and tissue are removed, then cleaned thoroughly.
Sealing: Root end is sealed bacteria-tight with biocompatible filling.
Suturing: Gums are sutured closed, healing begins quickly.

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Most patients are back to normal life within 24-48 hours, with only mild swelling or tenderness that ibuprofen easily handles.

For best results:

Skip chewing on that side for 2-3 days
Stick to soft foods, nothing too hot or cold
Ice packs (20 min on/off) keep swelling down
Brush gently nearby; no hard rinsing
Finish any antibiotics we prescribe
Call right away if pain or swelling ramps up

We’re here with full aftercare instructions and support every step of the way until you’re 100% again.

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Expert microsurgery specialists

Our endodontists regularly perform apicoectomies with surgical microscopes for unmatched precision.

Advanced technology on-site

We use CBCT imaging and Zeiss microscopes in every treatment room to ensure accurate diagnosis and treatment.

Comfort-first patient care

We offer a relaxed setting, sedation options, and clear explanations at every step.

Same-day emergency visits

Urgent pain from root canal issues? We prioritize fast scheduling at Jersey City, Paramus, and Bloomfield.

Dentist-trusted across North Jersey

Local dentists refer to us for reliable surgical outcomes and tooth preservation.

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Serene

Cutting-edge

Innovation

Precision

NYU & Columbia-Trained

State-of-the-art

Serene

Cutting-edge

Innovation

Precision

NYU & Columbia-Trained

State-of-the-art

Patient-centered

Board Certified

Expert

Specialist

Gentle

Comfort

Patient-centered

Board Certified

Expert

Specialist

Gentle

Comfort

Patient-centered

Board Certified

Expert

Specialist

Gentle

Comfort

Tooth pain getting worse?

Tooth infections pose serious oral health risks and require expert care quickly. Contact North Jersey Endodontic Group now.

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FREQUENTLY ASKED QUESTIONS

What is the success rate of an apicoectomy?

Modern techniques using microscopes and imaging deliver over 90% success in properly selected cases. This preserves your tooth long-term. Our specialists maximize outcomes by precisely targeting the infection and effectively sealing the root.

Is an apicoectomy the same as a root canal?

No, a root canal cleans infection from inside the tooth. An apicoectomy surgically treats lingering infection at the root tip when prior treatment has not fully resolved the issue. It’s a precise microsurgery option designed to save your natural tooth and avoid extraction.

How do I know if I need an apicoectomy?

Persistent pain, swelling, gum tenderness, or a pimple-like bump near a previously treated tooth are common signs. Your general dentist may spot root tip issues on X-rays. We’ll confirm with a thorough exam and CBCT imaging before recommending this procedure.

Is the procedure painful, and how long is the recovery?

Local anesthesia keeps you comfortable during surgery. Sedation is available if needed. Most patients experience only mild soreness afterward, which is managed with ibuprofen. You’ll resume normal activities in 1-2 days. Full bone healing takes weeks. We provide detailed aftercare guidance.

Do I still need a crown after an apicoectomy?

If your tooth already has a crown, it typically stays in place. If not, your general dentist may recommend one after healing to protect the tooth. We coordinate with your dentist to ensure the best outcome.

Will insurance cover an apicoectomy?

Many plans cover part or all of the cost, especially after prior root canal treatment. We’ll verify your benefits and discuss costs upfront. We also offer flexible payment options to make care accessible.

Meet our NYU and Columbia-trained endodontic specialists

Meet our team

End tooth pain with expert endodontic care today.

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EXPERT CARE, CLOSE TO HOME

Jersey City

591 Summit Ave #515
Jersey City, NJ 07306

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Paramus

140 Route 17 North, Suite 270
Paramus, NJ 07652

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Bloomfield

554 Bloomfield Ave, Suite 204
Bloomfield, NJ 07003

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Jersey City

591 Summit Ave #515
Jersey City, NJ 07306

Paramus

140 Route 17 North, Suite 270
Paramus, NJ 07652

Bloomfield

554 Bloomfield Ave, Suite 204
Bloomfield, NJ 07003

What our patients are saying

Patient

5/5

“I had an absolutely fantastic experience! The equipment was comfortable and modernized. Every single staff is Absolutely professional and greets you with a smile.”

Jersey City

Patient

5/5

“One of the most impressive operations I’ve ever seen. Full root canal. In and out in no time and 3 hours later I’m in no pain from the procedure. Outstanding.”

Paramus

Patient

5/5

“Everyone in this dental office is extremely professional and kind. Everything was explained to me in depth down to the tiniest detail. Highly recommended.”

Bloomfield

Patient

5/5

“The entire team was welcoming, professional, and made me feel comfortable throughout my visit. Everything was explained clearly, and the care I received was both gentle and thorough.”

Jersey City

Patient

5/5

“I am someone who is very, very scared of any type of dentist. What I can say is I felt so comfortable here! The whole entire staff was so great.”

Paramus

Patient

5/5

“The best endodontics group. An impeccable service, modern facilities and unbeatable treatment. I 100% recommend.”

Our services

Apicoectomy & Microsurgery