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!

Call us: 210-341-8281

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.

Illustration of infection at tooth root, Before Apicoectomy
1. Infected Tissue
Illustration of infection removal at tooth root, During Apicoectomy
2. Tissue Removed
Illustration of removed infection and bone near tooth root, After Apicoectomy
3. Suture Placed
Illustration of healed bone and tooth root, After Apicoectomy
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

5 out of 5 stars based on 71 Apicoectomy reviews

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

5 out of 5 stars on

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

5 out of 5 stars on

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

5 out of 5 stars on

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

5 out of 5 stars on

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

5 out of 5 stars on

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

5 out of 5 stars on

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

5 out of 5 stars on

Our Latest Patient Testimonial

I was very pleased with my root canal procedure

- Keneth W

5 out of 5 stars on

Our Latest Patient Testimonial

The staff was very professional, and the service was outstanding. I would highly recommend for your dental care.

- Edward A

5 out of 5 stars on

Our Latest Patient Testimonial

Dr. David Cloutier has a friendly demeanor which puts you at ease instantly. He has hands of gold for his work is impeccable! Ms. Gabriela Sierra, the operations manager was equally charismatic and impeccable as well as the rest of the staff!

- Sonia D

5 out of 5 stars on

Our Latest Patient Testimonial

Hi everyone. I have to admit, I am not one to leave reviews for any and every experience, but this one is worth the effort of finding this page and taking the time to thank Dr. David L. Cloutier, DMD. I had two crowns done by another doctor up in Dallas that resulted in both of these teeth's nerves beginning to die. I lost the ability to chew on the left side of my mouth for almost six months, and my brain began training my mouth to only eat on one side. Sadly, I began to get used to this life. One of the teeth was more painful than the other one, and I was referred by a friend to see Dr. Cloutier for a potential root canal. Having to travel to San Antonio from Dallas, they were extremely accommodating with my schedule. The office was very clean and professional and everyone from the front desk to the assistants (shoutout to Allison) was very kind and explained everything I needed to know about the procedure, asking me if I had any additional questions before moving forward. Everyone made sure I fully understood what was about to be done. Dr. Cloutier was also very professional and relatable. During the procedure, I chose to use nitrous oxide gas and felt no pain at all. The procedure seemed to go by very quickly. After the root canal, I immediately felt relief in that tooth. Then I noticed that the tooth right next to it was feeling like it needed one as well. I didn't notice the pain in the second tooth before the first tooth had undergone a root canal because the first tooth was so painful before the root canal. I called the office a few days later to see if they could see me and examine my second tooth, they had me in that morning. I got the second root canal done a few days later. This was a lifesaver for me because I do not live in San Antonio, so if I was not able to get an appointment as quickly as I did, I would have had to leave for Dallas with pain from my second tooth and then have to schedule another time to travel back. Today I am forever grateful to everyone at San Antonio Endodontics, and especially Dr. David L. Cloutier because, for the first time in six months, I can chew normally again. I no longer have anxiety or fear of pain when I eat. These two root canals worked like magic! I can even eat carrots, apples, chips, cold, hot--anything. Thank you for bringing the joy back to eating! San Antonio Endodontics is an office that I trust with my mouth and is definitely worth traveling five hours to see.

- Steven G

5 out of 5 stars on

Our Latest Patient Testimonial

Dr. C and Becky were amazing! They made sure I was comfortable the entire time. They numbed me up really good and explained anything I was unsure or questioned about! For someone with anxiety! I was ready to get it done and he made me feel so comfortable.

- Sophie B

5 out of 5 stars on

Our Latest Patient Testimonial

I would like to thank Gabriella, Mindy and Dr Ruparel for being the most amazing people to work with in this industry! I am an AF Veteran and was mistreated at another dentist office and SA Endodontics truly came through for me at the last minute when I was miserable in pain due to a necrotic root in my tooth right before my birthday. Gabriella is the most wonderful person who went above and beyond to get me scheduled without any hassle and made it extremely easy to get seen and followed up with me after my root canal to ensure I was healing well. I love her! Mindy is so skilled, down to earth, warm, caring, and very knowledgeable in her craft! She made me feel at ease and took away my pain and fears and explained everything step by step. Dr Ruparel is hands down the BEST person to go to if you need a root canal! I swear it doesn’t get any better than her!! She knew exactly how to figure out where my pain was coming from when I was previously misdiagnosed from another provider and saved me from getting a root canal on the wrong tooth! She is extremely intelligent, caring, beautiful both inside and out, and a thorough expert in her field! I couldn’t find a better person in Texas to take care of my root canal than these folks! If you need dental help, look no further, save yourself the time and pain and go straight to this office. THANK YOU TO GABRIELLA, MINDY AND DR RUPAREL. You didn’t just treat me like a patient, you took care of me like family. Love you guys!! Xoxo * The views and opinions expressed on this review are purely my own and based on my personal experience and are in no way sponsored or compensated

- Anjali S

5 out of 5 stars on

Our Latest Patient Testimonial

I was not looking forward to getting a root canal done but my brother had recently gotten treatment with SA Endodontics and expressed what a great experience he had with his treatment. He especially gave a rave review of Becky who assisted the doctor. I also had Becky in my procedure and I couldn't be happier with her service. She was reassuring throughout the entire procedure and always explained everything very clearly and was constantly checking to make sure I felt comfortable. Becky really made a huge difference in my experience and I am very thankful for everything she did for me. Dr. Creapa was great as well, not only did my procedure go as well as possible even though I had a severe infection but the next day when I had some unexpected pain she called me right away, saw me within an hour and even gave me her cell number if I encountered any other issues. I would whole heartily recommend SA Endodontics.

- Sam F

5 out of 5 stars on

Our Latest Patient Testimonial

Dr Chrepa and her assistant Mindy made sure I was comfortable throughout my appointment and were very attentive and caring. It was a wonderful visit from start to finish.

- Amy M

5 out of 5 stars on

Our Latest Patient Testimonial

I am always thoroughly impressed by your expertise and kindness during my appointments. The office staff is also extremely welcoming and warm. I really appreciate all of your help.

- Auxy C

5 out of 5 stars on

Our Latest Patient Testimonial

Awesome staff and service!

- Landa A

5 out of 5 stars on

Our Latest Patient Testimonial

Excellent service very friendly staff& very professional Dr cloutier is awesome thank you !

- Ruth Reynosa R

5 out of 5 stars on

Our Latest Patient Testimonial

Had a root canal done yesterday and I'm so glad I went through with it. The doctor and nurse were extremely comforting and was able to answer all my questions. The whole staff was very friendly and welcoming. Thank you so much.

- Aurthur J

5 out of 5 stars on

Our Latest Patient Testimonial

My experience with and treatment by Dr. Ball and his staff was nothing short of phenomenal. They are professional, friendly, and make you feel at home. They treat you like family. Dr. Ball and his staff are patient, good listeners, and detailed in answering questions. If someone is in need of an Endodontist, I highly recommend Dr. Ball.

- Onix R

5 out of 5 stars on