Washington DC Endodontic Surgery – Apicoectomy

Advanced endodontic care that heals from the root up

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 Washington DC endodontic surgery–apicoectomy specialists 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 endodontist today.

Your smile is in expert hands

Our in-house endodontist performs 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.

The Dlight Difference

In-house Endodontist

Skip referrals and delays. Our specialists perform your consultation, imaging, and procedure all under one roof.

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 IV sedation, oral sedation, or nitrous oxide 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?

1. Consultation & Imaging

Your visit begins with a comprehensive exam and 3D CBCT scan to visualize the affected root tip and surrounding bone.

2. Microsurgical Precision

During the procedure, your Washington DC endodontic surgery–apicoectomy specialist gently accesses the tooth root, removes infected tissue, and trims the root tip with high-precision instruments.

3. Sealing the Root

We apply a bioceramic sealant to close the root end, preventing bacteria from reentering.

4. 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.

5. Returning Home

We’ll provide detailed aftercare instructions once your apicoectomy is complete and check in to make sure healing is going to plan.

More frequently asked questions about apicoectomy

What is an 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.

Does an apicoectomy hurt?

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.

How long is the recovery?

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.

Is surgery always necessary?

No. Our endodontist will evaluate whether retreatment, medication, or another conservative approach could work first. Surgery is only recommended when it’s the best long-term solution.

Will I need a crown afterward?

If the tooth doesn’t already have a crown, one may be recommended to protect and strengthen it following surgery.

Feel amazing about your oral health

By far the best dental experience I have ever had. I had a lot of work done here - extraction, implant, cleaning, fillings, etc. and as someone who is usually afraid of the dentist, they made me comfortable.

— Sebastian R.

A great experience every time. If you’re looking for great treatment, friendly people, and healthy teeth, this office is for you.

— Andrea

Always a delightful dental experience. There is no waiting and the cleaning is painless, thorough, and very time-efficient. The office, hygienist, and dentist are very knowledgeable and attentive!

— Laura O.

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 us at (202) 953-2557 — our team is ready to help

Finance your endodontic care

We make advanced dental care accessible. Through CareCredit or Proceed Financing, 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.

Visit Us in Washington DC

1212 New York Ave NW
STE 425
Washington, DC 20005
Get Directions

Mon-Thu: 8am–5pm
Fri: 8am–4pm

Your smile, our delight

Feel the difference with advanced, specialized dental care all under one roof. We offer flexible insurance and financing options to keep your experience stress-free and focused on you.