Apicoectomy
Why would I need Endodontic Surgery?
Generally, a root canal is all that is needed to save teeth with injured pulp from extraction. Occasionally, this non-surgical procedure will not be sufficient to heal the tooth and your endodontist will recommend surgery.
Endodontic surgery can be used to locate fractures or hidden canals that do not appear on x-rays but still manifest pain in the tooth. Damaged root surfaces or the surrounding bone may also be treated with this procedure. The most common surgery used to save damaged teeth is an apicoectomy or root-end resection.
Does Your Tooth Still Hurt After a Root Canal?
Drs. Cloutier and Bayat can perform an Apicoectomy to relieve pain and save your natural teeth!
What is an Apicoectomy?
The video on the right illustrates this simple procedure. An incision is made in the gum tissue to expose the bone and surrounding inflamed tissue. The damaged tissue is removed along with the end of the root tip. A root-end filling is placed to prevent reinfection of the root and the gum is sutured. The bone naturally heals around the root over a period of months restoring full function.

1. Infected Tissue

2. Tissue Removed

3. Suture Placed

4. Healing Complete
Following the procedure, there may be some discomfort or slight swelling while the incision heals. This is normal for any surgical procedure. To alleviate any discomfort, an appropriate pain medication will be recommended. If you have pain that does not respond to medication, please call our office: San Antonio Endodontics Phone Number 210-341-8281.
Patient Reviews: Apical Surgery
This reviews section is in progress. Please visit the Patient Review Form page to leave a review about your apicoectomy experience with this practice. Call our office if you would like more information: San Antonio Endodontics Phone Number 210-341-8281.
San Antonio Endodontics
Our Latest Patient Testimonial
Dr. Cloutier was amazing. The procedure was quick and pretty painless. Just watching him and his assistant Allison was like watching a well oiled machine working in unison. I highly recommend Dr. Cloutier at the San Antonio Endodontics. I hope not to need anymore root canals, but so happy to know that Dr. Cloutier is there if needed once again.
- Randy P
Our Latest Patient Testimonial
I had an exceptional experience. From the initial consultation to the completion of my root canal, Dr. Coultier, his assistant Heather and their team demonstrated professionalism, kindness, and a genuine concern for my comfort and well-being. Dr Coultier was singing softly to songs on the radio as he worked and he has a great voice. Very soothing and relaxing environment with my “singing dentist.” LOL. The procedure was thoroughly explained to me, and I was kept informed throughout the process. Dr. Coultier was gentle, skilled, and made sure I was comfortable during the entire procedure. He also gives pain free numbing injections, especially the one in the roof of my mouth. The office staff was friendly, efficient, and made scheduling a breeze. I was impressed by the state-of-the-art equipment and technology used in the office. I highly recommend SA Endodontists to anyone seeking endodontic care. They truly deserve 5 stars!"
- Vivien K
Our Latest Patient Testimonial
Dr. Bayat was very kind and attentive.
- Monica C
Our Latest Patient Testimonial
Dr. Cloutier and staff were wonderful! I had a root canal and the procedure was quick and painless. Definitely recommend to anyone needing a root canal!
- Tonia F
Our Latest Patient Testimonial
I had the best experience. Everyone one there made me feel comfortable and well cared for. Dr. Cloutier and his assistants are awesome!
- Amy T
Our Latest Patient Testimonial
Allison and Dr. Cloutier were amazing. They knew exactly what they were doing. They worked like a well oiled machine. The root canal procedure went flawless. Root canals are their bread and butter, it's what they do here. Dr. Cloutier was very calm and collected and makes you feel at ease. He has soft music playing in the background and he hums along with the songs to help him stay focused and in the zone. I also enjoyed the music as it also help me focus on something else. It was a great experience. I will def be coming back for future procedures if and when needed. I will also recommend them to my family and friends.
- Chris G
Our Latest Patient Testimonial
Great experience! The entire staff is attentive and professional. Dr. Bayat explained the procedure and kept me updated throughout the process. I was extremely happy with every aspect of the visit.
- Charles A
Our Latest Patient Testimonial
I had the best experience. Dr. Bayat and Tristen were excellent and very professional. Dr. Bayat made sure I was comfortable the entire time of my procedure. I highly recommend Dr. Bayat. I can’t say enough of the wonderful experience!
- Carrie Schlattner S
Our Latest Patient Testimonial
Doctor and staff were friendly, professional and my treatment was pain free. Overall excellent experience. Thank you.
- Brenda S
Our Latest Patient Testimonial
Outstanding care and professionalism
- James R
Our Latest Patient Testimonial
First time l experience very little pain low pain med. I'm very impressed will definitely return!
- Lawrence P
Our Latest Patient Testimonial
Honestly Hands down the best I went in because I had a cracked molar that lead to a root canal the staff are very helpful , friendly, and informative. On the day of my procedure Dr. Cloutier and Assistant Allison fixed my molar NO PAIN at all they are the best would 100% recommend!!
- Jorge B
Our Latest Patient Testimonial
Dr. Cloutier and staff were wonderful, polite and attentive. Thank you for making my experience painless and easy. Keep up the great work!
- Gabriela M
Our Latest Patient Testimonial
I was referred to SA Endodontics by my dentist. I had an abcessed tooth and was also in need of a root canal. This office is incredible! The receptionists, accounting department, nursing staff, and Dr. Bayat are all professional, courteous, and caring. Both Dr. Bayat and his nurse reached out to me the day after my procedures. I would highly recommend the entire team!!
- Carol C
Our Latest Patient Testimonial
David L. Cloutier, DMD and Allyson, were super duper awesome! San Antonio Endodontics, takes Tir-care and they love veterans! They are 110% Awesome... They are let service dogs... please make sure they are certified.
- Luis A
Our Latest Patient Testimonial
My first contact with San Antonio Endo was with scheduling. They were able to accommodate my request and I was scheduled two days later. All insurance was verified prior to my appointment. Very efficient. Upon arrival, I was taken in for my consultation. Dr. Bayat came in and introduced himself. He explained the process and answered all of my questions. He had incredible bedside manner and I felt at ease from the beginning. There was a point during the procedure where my claustrophobia got the best of me and he immediately stopped until I was able to resettle. Dr. Bayat’s follow-up was incredible. He was available when I had questions about pain management and never made me feel like I was an imposition. A week after the procedure he contacted me one final time to verify that I was recovering well. Dr Bayat is a unicorn in the medical field. If the need ever arises again, I will definitely return to his care.
- Kelly P
Our Latest Patient Testimonial
The staff was excellent and friendly. They saw me quickly. They performed the procedure efficiently with no pain, were very considerate and attentive through the whole process. Would recommend for anyone in need of root canal therapy or any other services they provide.
- Ruben R
Our Latest Patient Testimonial
I had developed an abscess and was in need of a root canal. My dentist referred me to Dr. Cloutier and I was so lucky he did. He is very patient and very careful when administering shots as it didn't hurt at all. During the procedure he took his time and made sure I was comfortable. He simply has magic hands! The office staff is very friendly and professional. I highly recommend Dr. Cloutier.
- Melissa R
Our Latest Patient Testimonial
I was very pleased with my root canal procedure
- Keneth W
Our Latest Patient Testimonial
The staff was very professional, and the service was outstanding. I would highly recommend for your dental care.
- Edward A