What Is Endodontic Microsurgery?
Endodontic microsurgery is a highly precise, minimally invasive procedure used to treat persistent infections or structural issues near the root tip of a tooth—particularly when traditional root canal therapy is not enough. The most common type of microsurgery is an apicoectomy, where the very tip of the tooth root and surrounding infected tissue are carefully removed. Using state-of-the-art microscopes and CBCT imaging, our team at 3D MicroEndo performs these procedures with exceptional accuracy to save teeth that might otherwise need to be extracted. According to the American Association of Endodontists, microsurgery is often the last step in preserving natural teeth when retreatment is not an option.
What to Expect During Endodontic Microsurgery
Microsurgery at 3D MicroEndo is performed under local anesthesia and typically takes under an hour. Your endodontist will use surgical microscopes and 3D CBCT scans to guide a small incision near the affected tooth. The root tip (apex) and any inflamed tissue are removed with microsurgical tools, and a biocompatible filling is placed to seal the root. The area is then sutured, and most patients return to daily activities within 24–48 hours. Because the procedure is so precise, it minimizes trauma to the surrounding bone and tissue, promoting faster healing.
Benefits of Endodontic Microsurgery
Microsurgical endodontic treatment is ideal for cases where infection persists after a previous root canal or where conventional retreatment is not possible.
Key benefits include:
- Saves natural teeth that may otherwise require extraction
- Targets infection at the root with minimal disruption to healthy tissue
- Uses surgical magnification and 3D imaging for precision
- Short recovery time and minimal post-operative discomfort
- Ideal solution for previously treated or structurally complex teeth
Who Is a Good Candidate for Microsurgery?
Endodontic microsurgery is typically recommended when a previous root canal has failed and non-surgical retreatment is not feasible.
You may be a candidate if you have:
- A previously root-canaled tooth that is reinfected
- Persistent pain or swelling despite prior treatment
- Root fractures or blocked canals
- Anatomical complications (e.g., calcified canals)
- Infected root tips visible on CBCT scans
Aftercare and Recovery Tips
Following microsurgery, our team will provide detailed aftercare instructions. Recovery is usually smooth and quick, especially when post-op guidelines are followed closely.
General tips include:
- Use ice packs in the first 24 hours to reduce swelling
- Stick to soft foods for 1–2 days
- Take all prescribed medications exactly as directed
- Avoid brushing the surgical site for a few days
- Return to our office for a follow-up visit to ensure proper healing
Trusted dental resources like Colgate Professional provide additional guidance on microsurgical healing timelines.
Why Choose 3D MicroEndo for Microsurgery?
At 3D MicroEndo, our board-certified endodontists—led by Dr. Jason Deblinger—are specialists in microsurgical techniques, including apicoectomies and root repair. We combine advanced diagnostics like CBCT imaging with high-powered microscopes to perform even the most complex procedures with precision and minimal discomfort. With locations in Tribeca, Gramercy Park, and the Upper East Side, we offer convenient access to world-class endodontic care throughout Manhattan.
Frequently Asked Questions
No. The procedure is performed under local anesthesia, and most patients report only mild soreness afterward—easily managed with over-the-counter medication.
A root canal treats infection from inside the tooth, while an apicoectomy (a common type of microsurgery) removes the infected root tip from the outside.
Most patients return to normal activities within 1–2 days. Full healing of the bone around the root may take a few months.
While many patients come through referrals, you can also schedule a consultation directly with our team at any of our three Manhattan locations.
Many insurance plans do cover endodontic surgery, but our staff will verify your benefits and explain all costs before treatment.