Root End Therapy in Northwest Oklahoma City

A Lasting Solution for Persistent Tooth Infections

Root end therapy — also known as an apicoectomy — is a surgical procedure used to remove the tip of a tooth’s root and surrounding infected tissue when standard root canal therapy hasn’t completely resolved the issue.

This treatment helps preserve your natural tooth, relieve pain, and stop the spread of infection — all while avoiding the need for extraction and replacement. Dr. Armin Zarkeshan performs root end therapy with precision, using gentle techniques and advanced tools to ensure a smooth, effective experience.

When Is Root End Therapy Necessary?

Root end therapy is typically recommended when:

• A tooth continues to cause pain or swell after a root canal
  
• Infection returns months or years after root canal therapy
  
• A small fracture or canal complication wasn't detected in the original treatment
  
• A conventional retreatment of the root canal isn’t possible
  

We use digital imaging to evaluate the root structure and determine if this minimally invasive surgery is the right next step.

What Happens During a Root End Procedure?

1. Consultation & Imaging
   
   • We begin with a thorough evaluation and digital X-rays or 3D imaging to assess the tooth root and surrounding bone
     
2. Surgical Access
   
   • Under local anesthesia, a small incision is made in the gum near the affected tooth to access the root tip
     
3. Removal & Cleaning
   
   • The infected root tip and surrounding tissue are carefully removed
     
   • The end of the root canal is cleaned and sealed with a biocompatible material
     
4. Suturing & Healing
   
   • The area is closed with a few small sutures
     
   • Healing occurs over the next several weeks with follow-up monitoring
     

The procedure is completed in one visit, and most patients recover comfortably with minimal discomfort.

Save Your Tooth Without Extraction

The goal of root end therapy is to save your natural tooth — not replace it. Preserving your tooth prevents the need for:

• Dental implants
  
• Bridges
  
• Tooth extractions and bone loss
  

When performed early enough, root end therapy can stop chronic infection and extend the life of your tooth by years.

Advanced Endodontic Care Close to Home

You don’t have to see a specialist or travel across town for advanced dental procedures. At Legacy Family Dentistry, we provide expert-level surgical and restorative care in a familiar, patient-first setting.

We’re proud to serve patients across:

• The Village
  
• Quail Creek
  
• Nichols Hills
  
• Yukon
  
• Warr Acres
  
• Lake Hefner
  
• Northwest Oklahoma City and Oklahoma County
  

Full Restoration and Follow-Up Care

After root end therapy, your tooth may need additional protection — especially if it’s a back tooth under heavy pressure. We may recommend:

• Dental Crowns to protect and strengthen the treated tooth
  
• Onlays for partial restoration
  
• Exams and Cleanings to monitor healing and prevent reinfection
  

Your comfort and long-term success are our top priorities.

Insurance and Payment Options

Root end therapy is often partially covered by dental insurance. Our team will handle benefit verification and walk you through all payment options, including:

• Cherry financing for interest-free monthly payments
  
• CareCredit and Alphaeon
  
• A DentalHQ Membership Plan for uninsured patients
  

We believe advanced care should always be accessible — especially when it helps you avoid more invasive treatment.