Louisville, KY Endodontist

Apicoectomy (Root End Surgery)

What Is an Apicoectomy?

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An apicoectomy, also known as root-end surgery, is a procedure that targets infection at the tip of a tooth’s root. After a root canal has been performed, infection or inflammation can sometimes persist in the surrounding bone tissue, causing pain or swelling. An apicoectomy is performed when retreatment of the root canal is not possible or would not be effective.

During the procedure, Dr. Scott Norton makes a small incision in the gum near the affected tooth to access the root tip and surrounding bone. The inflamed or infected tissue, along with the very end of the tooth’s root, is carefully removed. A small filling is placed at the end of the root to seal it, and the gum is sutured to allow for proper healing. Over time, the bone naturally regenerates, and the tooth returns to full function.

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Benefits of an Apicoectomy

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Tooth Preservation

An apicoectomy provides a second chance to save a tooth that has already undergone root canal therapy. By removing the infected root tip, the procedure helps maintain the natural tooth and avoids extraction.

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Elimination of Infection

This procedure directly removes the source of infection that lies beyond the reach of a standard root canal, promoting complete healing and preventing the infection from spreading to nearby tissues.

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Long-Term Relief

An apicoectomy helps relieve chronic discomfort and inflammation caused by unresolved infection, offering long-term relief and restoring normal tooth function.

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Why Trust Dr. Scott Norton?

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Dr. Scott Norton is a skilled and experienced endodontist dedicated to providing exceptional care with a personal touch. Located in Louisville, Kentucky, Dr. Norton specializes in advanced procedures like apicoectomies and root canal therapy. His commitment to patient comfort and long-term results has made him a trusted name in endodontic care. Using the latest technology and techniques, Dr. Norton ensures precise, efficient treatment with minimal discomfort.

He takes time to explain every step of the process, so patients feel informed, confident, and at ease throughout their visit. With years of specialized training and a compassionate approach, Dr. Norton carefully evaluates each case to provide the most effective treatment plan tailored to your needs. His goal is to preserve your natural teeth and restore your oral health with expert precision and care.

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Evaluation and Incision

Dr. Scott Norton begins by examining the tooth and reviewing X-rays to determine if an apicoectomy is necessary. Once the area is numbed with local anesthesia, a small incision is made in the gum tissue to access the bone and root tip.

Root Tip Removal and Filling

The inflamed or infected tissue surrounding the root tip is carefully removed, along with the end of the root itself. A small filling is then placed at the tip of the root to seal it and prevent further infection. The removed tissue may be sent to an oral pathologist for biopsy.

Healing and Recovery

The gum is sutured to promote healing, and over the next several months, the bone naturally regenerates around the root. Mild swelling or discomfort is normal during recovery and can be managed with pain medication. If pain persists, patients should contact Dr. Norton’s office for follow-up care.

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Wow! Yesterday I had a last minute appointment…they fit me in to check out potential cause of my three month ordeal with headaches. From Stephanie, to Kim and then Dr. Norton, I could not have been more impressed! The time they took to listen to me, thoroughly examine me and make recommendations for my healing was really special. I now have a plan, thanks to my visit!
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Victoria Weber
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Dr Norton was amazing. They are all super friendly and my procedure was virtually painless!!!!
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Erin Skrine
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He was very nice & I had no pain
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Donna Crow
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My first visit was simply amazing!!!! First the staff just make things feel easy and then Dr. Norton i will be back!!!! Actually had a great time!!!! Debbie C.
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Debbie Ritchey
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Dr Norton and his staff are outstanding - friendly, professional and explain clearly what is happening at each stage of the process
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Lucy Hurst
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Very good experience, wonderful staff and Dr Norton was very thorough and professional. Would recommend for sure
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chris borders sr
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Dr. Norton and his entire staff have been absolutely amazing! I had received 2 referrals and called the other because the practice was closer…4 calls and 3 voicemails (all during office hours) and no one called back. So, I called Dr. Norton’s office and I’m SO GLAD I did. My call was answered immediately and the friendly staff set my appointment. Day of, I was made to feel welcome and at ease. Everything, from paper work to fee structure, diagnostic imaging to treatment plan, was all explained in detail and in layman’s terms. My follow up treatment is scheduled just days away. I’m so grateful to have found such a hospitable, compassionate, talented practice!
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Nikki Kovacs