Apicoectomy/Endodontic Surgery

At Columbia River Endodontics, our specialists perform endodontic surgery to address persistent inflammation, infection, or other concerns affecting a tooth’s roots and surrounding tissues. When nonsurgical treatment alone cannot resolve the problem, surgery may help relieve discomfort and preserve the natural tooth.
Why Do I Need Endodontic Surgery?
Oftentimes, many patients’ infected teeth can be saved by a simple non-surgical root canal procedure. However, there are some cases in which the tooth may require more complex surgical treatment. Dr. Garth Hatch will perform endodontic surgery on patients to locate fractures or hidden root canals that might not appear on X-ray images but will show up as painful symptoms and sensitivity in the tooth. Endodontic surgery may also be used to treat damaged or infected root surfaces and the surrounding bone.
Apical Surgery
During apical surgery, Dr. Hatch, Dr. Dawson, Dr. Schafer, Dr. Dadresanfar, or Dr. Moser will remove a portion of the tip of the tooth’s root to access the infected root canal to clean and seal it. Our team might recommend this type of surgery if the patient has signs of infection in or near the tip of the root canal. Apical surgery may also be performed when typical root canal therapy does not effectively eliminate signs of infection or pain–thus the need for more complex and deeper surgery.
What To Expect For Endodontic Surgery
Typically, endodontic surgery is performed during one appointment. Our team uses local anesthetics to thoroughly numb the treatment area and other medicine to help relieve any anxiety, pain or discomfort during the procedure. Our goal is to ensure that our patients have a comfortable and calm experience when undergoing endodontic surgery.
After the surgery, it is very normal to experience some sort of swelling and discomfort while your tooth and mouth are healing–this is a very normal bodily reaction to surgery. If you are having extreme pain and discomfort other than the normal amount, we urge you to reach out to our team so that we can examine the area and provide insight into why this is happening.
Our practice’s goal is to provide you with the highest quality endodontic care possible–no matter your situation. We understand that endodontic surgery can be a daunting procedure, and we are here to help alleviate any confusion or anxiety prior to your procedure.
We invite you to reach out to our team today so that we can help answer any questions you may have regarding endodontic surgery: 509-783-1335. We’re looking forward to hearing from you soon!






