Apicoectomy in Daly City & San Francisco, CA
If you’re experiencing persistent tooth pain or infection after a root canal, an apicoectomy may be the solution to save your natural tooth. At Archstone Oral & Facial Surgery, we provide advanced apicoectomy procedures for patients in Daly City and nearby San Francisco using precise, minimally invasive surgical techniques.
Led by Dr. Alfredo A. Dela Rosa, our team is dedicated to preserving your natural smile whenever possible. When traditional root canal therapy is not enough, apicoectomy surgery can eliminate infection at the root tip and restore long-term oral health.
What Is an Apicoectomy?
An apicoectomy, also known as root-end surgery, is a minor oral surgical procedure that removes infection from the tip of a tooth’s root. This treatment is typically recommended when a previous root canal has not fully healed or when infection persists deep within the root structure.
During the procedure, a small incision is made in the gum tissue to access the affected area. The infected tissue and the tip of the root are carefully removed, and a biocompatible filling is placed to seal the root and prevent reinfection. Over time, the surrounding bone heals naturally, restoring the tooth’s function. :contentReference[oaicite:0]{index=0}
Why You May Need an Apicoectomy
While root canal therapy is highly effective, some cases require surgical intervention to fully resolve infection. An apicoectomy may be recommended if:
- Infection persists after a root canal
- Hidden canals or fractures are not visible on X-rays
- You experience ongoing pain or swelling near a treated tooth
- The surrounding bone or root structure is damaged
This procedure is often the last step to save a natural tooth and avoid extraction. :contentReference[oaicite:1]{index=1}
Benefits of Apicoectomy Surgery
Choosing an apicoectomy offers several important benefits for your oral health:
- Preserves your natural tooth
- Eliminates infection at the source
- Prevents the need for tooth extraction
- Restores long-term function and comfort
- Supports overall oral and bone health
What to Expect During the Procedure
Your apicoectomy will be performed in a comfortable, state-of-the-art surgical setting. Local anesthesia and sedation options are available to ensure a stress-free experience.
The procedure typically involves:
- Gently accessing the root through the gum tissue
- Removing infected tissue and the root tip
- Sealing the root with a specialized filling
- Suturing the area for proper healing
Most procedures are completed in one visit, and patients can return home the same day.
Apicoectomy Recovery & Aftercare
Recovery after an apicoectomy is typically smooth and manageable. Mild swelling or discomfort is normal and can be controlled with prescribed or over-the-counter medications.
- Apply ice packs as directed to reduce swelling
- Follow all post-operative instructions carefully
- Avoid strenuous activity for a few days
- Maintain good oral hygiene while avoiding the surgical area
Most patients return to normal routines within a few days, while complete healing of the bone occurs over time. :contentReference[oaicite:2]{index=2}
Why Choose Archstone Oral & Facial Surgery?
Patients in Daly City and San Francisco trust Archstone Oral & Facial Surgery for expert surgical care and personalized treatment plans. Dr. Alfredo A. Dela Rosa is highly experienced in advanced oral surgery procedures, including apicoectomy treatment.
- Specialized expertise in endodontic surgery
- Advanced technology for precise, minimally invasive care
- Comfort-focused approach with sedation options
- Convenient Daly City location serving San Francisco and the Bay Area
Our goal is to save your natural teeth whenever possible while ensuring your comfort and long-term oral health.
Serving Daly City & San Francisco Patients
Located in Daly City, Archstone Oral & Facial Surgery proudly serves patients throughout San Francisco and surrounding Bay Area communities. Whether you live or work in San Francisco, expert apicoectomy care is just minutes away.
Schedule Your Apicoectomy Consultation Today
If you have ongoing tooth pain or infection after a root canal, don’t wait. Contact Archstone Oral & Facial Surgery today to schedule your consultation. Our team will evaluate your condition and determine if an apicoectomy is the right solution for you.
Call our Daly City office or request an appointment online to restore your oral health and save your natural tooth.
Apicoectomy FAQs
Is an apicoectomy painful?
The procedure is performed under local anesthesia or sedation, so patients typically feel little to no pain during treatment.
How long does an apicoectomy take?
Most apicoectomy procedures take between 30 to 90 minutes, depending on the complexity of the case.
What is the success rate of an apicoectomy?
Apicoectomy procedures have a high success rate and are often the best option for saving a tooth when a root canal alone is not sufficient.
How long is the recovery time?
Most patients recover within a few days, although complete healing of the bone may take several months.
Is an apicoectomy better than tooth extraction?
Whenever possible, preserving your natural tooth with an apicoectomy is preferred over extraction, as it helps maintain your natural bite and prevents the need for replacement options like implants or bridges.

1. Infected Tissue

2. Tissue Removed

3. Suture Placed

4. Healing Complete
