Endodontic or Apical Surgery

Cragun Endodontics performs endodontic surgery in Frisco, TX. Call 469-579-4201 to learn more or to schedule an appointment.

What is Endodontic Surgery?

There are many reasons why someone may need to go through an endodontic surgical procedure, such as: 

  • Attempting to diagnose a root issue by getting a thorough look at the root. 
  • Treating damaged root surfaces. 
  • Finishing a root canal procedure that has too many calcium deposits to handle it in a conventional, nonsurgical way. 

One of the most common types of endodontic surgery is an apicoectomy - or apical surgery. This type of endodontic surgery is sometimes referred to as root end surgery since it involves removing a piece of the root tip and then sealing the root canal. 

Apical surgery is generally done after a root canal procedure has taken place - and potentially a root canal retreatment, too. If any inflammation or infection has made its way to the root tip in the jawbone, it could lead to multiple issues down the road. If all options are exhausted, rather than extracting the tooth, your endodontist may recommend an apicoectomy. 

Benefits of Endodontic Surgery

  • Maintain healthy, functioning, natural teeth. 
  • Avoid the need for extractions. 
  • Reduce the risk of serious health complications. 
  • High success rate of healing persistent infections, inflammation, and other issues.

Are You a Good Candidate for Endodontic Surgery?

Not everyone is a good candidate for endodontic surgery. Often there are ways you can take care of treatment with more traditional methods - and without the need for surgery. However, you may be a good candidate if: 

  • You have pain or infection after root canal treatment - and retreatment - have been attempted. 
  • There are areas of the root canal that the endodontist couldn’t reach or access. 
  • Your dentist has noticed something unusual on your x-rays. 
  • Root resorption occurs (meaning that the root is dissolving).
  • There is a large infection in the bone that isn’t healing or responding to current treatment efforts.

Why Choose Cragun Endodontics?

At Cragun Endodontics, we take a patient-focused approach to your oral health. We treat you like family and address any dental fears or anxiety you may have so that you are comfortable throughout your surgery and when healing peacefully at home. 

  • Dr. Cragun has been Board Certified for over 9 years with specialized training and experience in endodontic surgery and treatment. 
  • We provide a comfortable, welcoming atmosphere.
  • Our entire dental team places an emphasis on developing a high level of trust with our patients. 
  • We are dedicated to your personalized care and seeing your surgery through - from the moment you walk in our door. 
  • A comprehensive list of endodontic services are offered. 

Cragun Endodontics has a modern office with state-of-the-art technology to provide a high level of excellence in this specialty field. If you are in need of endodontic surgery, we are sure that you will find our office to be your best choice. 


How long does an apicoectomy take? 

Typically, an apicoectomy takes anywhere from 30 minutes to 90 minutes. The time depends on the complexity of the root structure and the location of the tooth. 

Does endodontic surgery hurt? 

No, endodontic surgery does not hurt. Local anesthetics will be given to numb the area so that you do not feel anything during the procedure. During the healing process, however, it is common to feel a little discomfort and potentially experience some minor swelling. This will go away with over-the-counter pain medication and cold compresses. 

How long does it take to heal after apical surgery? 

After your apical surgery, there is a good chance you will have stitches that either need to be removed in 3-7 days or will dissolve over time, depending on the type used. Within two weeks you should be free of all soreness and swelling and feel like yourself again. Keep in mind that because apical surgery involves your jaw bone, it can take months to fully heal.

Will an apicoectomy last a lifetime? 

Generally, yes, an apicoectomy should last a lifetime. However, there are always those rare instances in which another infection may develop.

Is a root canal considered endodontic surgery? 

No. A root canal is a nonsurgical method of trying to save your tooth without having to move forward with surgery. Most of the time a root canal is all you need. 

If you would like to learn more or are ready to schedule an appointment, call 469-579-4201.