Apicoectomy Surgery | Las Vegas NV Oral Surgeon | Root Canal

What Is an Apicoectomy And Why Is It Important?

At The Center for Oral Surgery of Las Vegas, our number one priority is your oral health. While there are some diseases and infections that attack our teeth to the point of tooth loss, Dr. Carlos Letelier and our amazing team will do everything in their hands to not only save your tooth, but to make you comfortable during the treatment process. If you’re suffering from a tooth infection and fear that you may to lose your tooth, don’t panic just yet. Schedule a consultation with Dr. Letelier to find out if you are eligible for an apicoectomy.

When Is It Time for An Apicoectomy?

An apicoectomy is an oral surgery procedure that usually takes place after a root canal has not healed a tooth infection. A root canal will always be the first choice as it is less invasive and requires less healing time, but if it doesn’t work, you may have to schedule an apicoectomy with Las Vegas oral surgeon, Dr. Letelier. An apicoectomy is scheduled when your natural tooth is still able to be preserved, but runs the risk of being overcome with infection. The infection will begin inside the tooth (don’t forget that your teeth are living tissue!) and move its way down to the root of your tooth, where it will spread to the surrounding gum tissue and may cause calcification.

During an apicoectomy procedure, an incision is made in the gums just above your infected tooth to gain access to the jaw bone. Once the jaw bone is exposed, a small piece of bone is removed to be able to perform the surgical procedure on the tooth. Once your oral surgeon has reached the infected root and gum tissue, Dr. Letelier will proceed to remove the tip of the tooth’s root as well as scrape all the infected tissue (and calcification if it exists) away. After the area has been cleaned free of the infected tissues, Dr. Letelier will place a sealant at the tip of your tooth (where the portion of the root was removed) in order to prevent further spread or re-occurrence of the infection. Your jaw bone piece will be placed back and the incision in your gums will be sutured.

Have More Questions About Apicoectomies? Contact Us Today!

If you’ve recently had a root canal procedure, but are still experiencing pain and discomfort, it may be time to schedule an apicoectomy. For more information on this or other oral surgery services we offer, please call us at 702.367.6666 or contact us via our online form to schedule an appointment with Dr. Letelier. Place your smile in our expert hands, today. Together, we can get your oral health back on track!

COVID-19 Updates

A COVID-19 message and well wishes from the Center for Oral Surgery of Las Vegas to all of our patients.


The health and safety of our patients and staff is our number one priority. Per CDC guidelines we will be continuing with or instituting the following measures. Other measures will be instituted as guided by the authorities.


  • Our staff will be wearing enhanced personal protective equipment (PPE).
  • We will be monitoring the health of employees and keeping home any employee who displays symptoms of COVID-19.
  • We will be providing services by appointment only and communicating any special instructions to the patient for the appointment (i.e. face covering).
  • We will be limiting the number of people allowed inside the office at any given time.
  • We will be requiring temperature checks and health screenings for patients before entering the office.
  • We will be limiting the contact between the administrative staff and the patients, such as eliminating check-in forms and receipts when possible.


Please fill any forms online at our website.

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