Generally, root canal treatment is all that is needed to save teeth with an inflammed or infected pulp from extraction. Occasionally, non-surgical procedures will not be sufficient to heal the tooth and your endodontist will recommend surgery. Endodontic surgery can be used to treat or hidden canals that were not able to be treated with conventional root canal therapy. Damaged root surfaces or the surrounding bone may also be treated with this procedure. The most common surgery used to save damaged teeth is an apicoectomy or root-end resection.

What is an Apicoectomy?

This diagram illustrates the steps of this simple procedure:

  1. An incision is made in the gum tissue to expose the bone and surrounding inflamed tissue.
  2. The damaged tissue is removed along with the end of the root tip.
  3. A root-end filling is placed to prevent reinfection of the root and the gum is sutured. In some instances, a bone grafting material may need to be placed in the surgery site to aid in healing.
  4. The bone naturally heals around the root over a period of months restoring full function.

Following the procedure, there may be some discomfort or slight swelling while the incision heals. This is normal for any surgical procedure. To alleviate any discomfort, an appropriate pain medication will be recommended. A follow up appointment will be need to ensure the healing of the surgical site. This usually occurs one week and six months following the surgery. If you have pain that does not respond to medication, please contact our office.

Nicholas Leon-Guerrero D.D.S

EDUCATION:

  • Bachelor of Science, University of the Pacific, Stocton, CA
  • Doctor of Dental Surgery, University of the Pacific Arthur A. Dugoni School of Dentistry, San Francisco, CA
  • General Practice Residency, Kings County Hospital Center, Brooklyn, NY
  • Certificate of Endodontics, Columbia University College of Dental Medicine, New York, NY

MEMBER, DENTISTRY:

  • American Dental Association
  • Virginia Dental Association
  • Northern Virginia Dental Society
  • Delta Sigma Delta Dental Fraternity

MEMBER, ENDODONTICS:

  • American Association of Endodontics

HONORS:

  • Board Eligible, American Board of Endodontics
  • Eagle Scout, Boy Scout of America
  • AAE Foundation Mission Outreach Participant

Frank Portell, D.M.D., M.S.

EDUCATION:

  • Doctor of Medical Dentistry, University of PuertRico, San Juan, PuertRico
  • Certificate of Endodontics, Walter Reed Army Medical Center, Washington, DC
  • Master of Science, George Washington University, Washington, DC

MEMBER, DENTISTRY:

  • American Dental Association
  • Virginia Dental Association
  • Northern Virginia Dental Society

MEMBER, ENDODONTICS

  • American Association of Endodontists
  • Virginia Academy of Endodontics (Past President)

HONORS:

  • Fellow of The American College of Dentistry
  • Fellow of The International College of Dentistry
  • Fellow of The Academy of General Dentistry
  • Pierre Fauchard Academy Fellow
  • Fellow of The Virginia Dental Association
  • Voted Top Endodontist by Northern Virginia Magazine
  • Voted Top Endodontist by Virginia Living Magazine
  • Voted Top Endodontist by Washingtonian Magazine

Nathan Schoenly, D.D.S.

EDUCATION:

  • Bachelor of Science, Saint Michael’s College, Burlington, VT
  • Bachelor of Arts, English Literature, Saint Michael’s College, Burlington, VT
  • Doctor of Dental Surgery, University of BuffalSchool of Dental Medicine, Buffalo, NY
  • Certificate of Endodontics, University of BuffalSchool of Dental Medicine, Buffalo, NY

MEMBER, DENTISTRY:

  • American Dental Association
  • Virginia Dental Association
  • Northern Virginia Dental Society
  • Korean American Dental Association
  • Alpha Omega Dental Fraternity

MEMBER, ENDODONTICS:

  • American Association of Endodontists
  • Virginia Academy of Endodontics
  • American Board of Endodontics
  • College of Diplomates of the American Board of Endodontics

HONORS:

  • Diplomate, American Board of Endodontics
  • Eagle Scout, Boy Scout of America

David Palmieri, D.M.D., M.S.

EDUCATION:

  • Bachelor of Science in Biology, University of Pittsburgh, Pittsburgh, PA
  • Doctor of Medicine in Dentistry, University of Pittsburgh, Pittsburgh, PA
  • Certificate of Endodontics, University of Pittsburgh, Pittsburgh, PA
  • Master of Science, University of Pittsburgh, Pittsburgh, PA

MEMBER, DENTISTRY:

  • American Dental Association
  • Virginia Dental Association
  • Northern Virginia Dental Society
  • Alexandria Dental Club (Past President)

MEMBER, ENDODONTICS:

  • American Association of Endodontists
  • Virginia Academy of Endodontics (Past President)
    Penick Endodontic Study Club
  • Seattle Study Club
  • Spear Study Club

HONORS:

  • Fellow of the Virginia Dental Association
  • Omicron Kappa Upsilon National Dental Honor Society
  • American Association of Endodontics Student Achievement Award
  • Pierre Fauchard Academy Fellow
  • Voted Top Endodontist by Northern Virginia Magazine
  • Voted Top Endodontist by Virginia Living Magazine
  • Voted Top Endodontist by Washingtonian Magazine
  • Voted Top Endodontist by Washington Consumer Checkbook Magazine
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