Endodontic Surgery
DC & Maryland Endodontic Surgery (Apicoectomy)
Advanced endodontic care that heals from the root up
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When a root canal isn't enough, we go one step further
Sometimes, even after a successful root canal, an infection can persist near the root tip. When that happens, a specialized procedure called an apicoectomy, or endodontic surgery, may be the best way to save your tooth and protect your oral health.
At Dlight Dental, our endodontic surgery (apicoectomy) specialists across Washington DC, Rockville, and Gaithersburg use advanced imaging, microsurgical tools, and biocompatible materials to precisely target and remove infection while preserving healthy tissue. Our goal: stop pain, prevent reinfection, and keep your natural tooth for life.
No referral is needed, schedule a consultation directly with our in-house endodontists today.
Your smile is in expert hands
Our in-house endodontists perform gentle, microsurgical apicoectomies designed for precision and comfort. Using magnification and high-resolution imaging, we identify and treat the exact source of infection while minimizing impact on surrounding tissues.
Even if you're unsure whether surgery is necessary, we welcome you to visit us for an evaluation. As your dental pain specialists, we'll explain your options clearly and help you make an informed decision about your care. Apicoectomy is part of our full endodontic care.
More frequently asked questions about apicoectomy
An apicoectomy is a microsurgical procedure that removes the infected root tip of a tooth and seals the end to prevent reinfection. It's often recommended when a standard root canal or retreatment can't fully resolve an infection.
Not at all. The procedure is performed under local anesthesia, and sedation options are available for additional comfort. Most patients describe it as easier than a root canal.
Mild swelling or tenderness is normal for a day or two, but most patients resume regular activities quickly. We'll provide post-op instructions to ensure smooth healing.
No. Our endodontists will evaluate whether retreatment, medication, or another conservative approach could work first. Surgery is only recommended when it's the best long-term solution.
If the tooth doesn't already have a crown, one may be recommended to protect and strengthen it following surgery.
The Dlight Difference
In-house endodontists
Skip referrals and delays. Our specialists perform your consultation, imaging, and procedure in one place.
Precision-driven treatment
We use 3D CBCT imaging, microsurgical instruments, and bioceramic sealing materials for predictable, long-lasting results.
Comfort-first sedation options
Choose from our sedation options to ensure a calm, anxiety-free experience.
Faster, high-quality restorations
Our in-house lab and 3D printing capabilities allow us to quickly restore and protect treated teeth with durable, natural-looking crowns.
What is the process for an apicoectomy?
Consultation & Imaging
Your visit begins with a comprehensive exam and 3D CBCT scan to visualize the affected root tip and surrounding bone.
Microsurgical Precision
During the procedure, your endodontist gently accesses the tooth root, removes infected tissue, and trims the root tip with high-precision instruments.
Sealing the Root
We apply a bioceramic sealant to close the root end, preventing bacteria from reentering.
Healing & Restoration
The gum tissue is sutured for healing, and a protective restoration or crown is placed to strengthen the tooth. Most patients experience minimal discomfort and return to normal activities within a day or two.
Returning Home
We'll provide detailed aftercare instructions once your apicoectomy is complete and check in to make sure healing is going to plan.
Testimonials
What our patients say
“I hate that I waited so long to come here! I had a wonderful experience. Everyone from the front desk to the X-ray tech, to the dental hygienist to the dentist are amazing!…”
“Dr. Li carefully evaluated my periodontal condition and explained everything to me in a clear and reassuring way. She recommended deep cleaning as the first step and answered all my questions patiently. She is very professional…”
“Dr. Chen replaced two fillings during my most recent appointment. He was gentle and thorough and explained everything to me. His assistant was great, too. The estimate I received ahead of time was accurate. Great practice. I highly recommend it!”
“Sharlene is fantastic! She has a very calming, soft-spoken manner that made the appointment relaxing. Her professionalism and dedication to doing a thorough cleaning were evident.”
“An exceptional dentist who is truly hardworking and meticulous with every procedure. The level of care and attention to detail is outstanding. Always kind, patient, and reassuring.”
“I had a very good experience getting a filling replaced. The dental assistant was pleasant and friendly and made me feel at ease. The dentist was great! He explained what he was doing.”
“This dental office met all of my requirements. The dentist, assistants and office staff are some of the best I have ever encountered. Dlight Dental offers a complete dental service.”
“I previously saw a different team though was pleasantly surprised when Dr. Schulz did my cleaning. He was gentle, attentive and thorough.”
“My family member required comprehensive dental care and a clear diagnosis. Over the past three years we had visited multiple dentists — Dlight Dental finally gave us answers and a plan we trust.”
We Accept Insurance
Dlight Dental accepts most major PPO insurance plans and will help maximize your benefits.
- Clear Estimates: You'll get an upfront estimate detailing what your insurance plan may cover and any private pay portion, so there are no surprises.
- Paperwork? Handled. We quickly take care of filing claims and work to maximize your benefits.
Questions? Contact the office nearest you — our team is ready to help.
Contact UsFinance your endodontic care
We make advanced dental care accessible. Through CareCredit or Proceed Finance, you may qualify for 0% interest for 6 months or affordable monthly payments. We'll help you find the best fit for your treatment plan.
Three locations, one standard of care
Each Dlight Dental office offers the same patient-first approach. Choose the location that is most convenient for you.
Washington DC
1212 New York Ave NW, STE 425
Washington, DC 20005
Mon–Thu: 8am–5pm | Fri: 8am–4pm
Visit our Washington DC office →Rockville, MD
9600 Blackwell Rd, Suite 101
Rockville, MD 20850
Mon–Thu: 8am–5pm | Fri: 8am–4pm
Visit our Rockville office →Gaithersburg, MD
6 Montgomery Village Ave, STE 300
Gaithersburg, MD 20879
Mon–Thu: 8am–5pm | Fri: 8am–4pm
Visit our Gaithersburg office →Your smile, our delight
Feel the difference of specialized, coordinated dental care across Washington DC, Rockville, and Gaithersburg. Flexible insurance and financing options keep your experience stress-free and focused on you.
Get to know the team behind Dlight Dental.