Laguna Hills, CA

Apical Surgery & Apicoectomy
in Laguna Hills, CA

When a tooth won't heal through conventional treatment, there's another option. At Saddleback Valley Endodontics, we specialize in apical surgery in Laguna Hills, CA. This advanced surgical approach gives problem teeth a chance at recovery and lasting health.

Endodontics treatment
92%+ Microsurgical Success Rate
Micro Microsurgical Technique
Same-Day Urgent Appointments
~1 wk Typical Recovery

Apical Surgery

What is an apicoectomy?

Apical surgery, also known as apicoectomy, is a surgical procedure performed on a tooth when traditional root canal treatment or retreatment cannot resolve the problem. Instead of accessing the tooth from the top through the crown, apical surgery approaches the infection from the root tip through the gum tissue. This allows our endodontists to remove infected tissue at the very end of the root and seal it, giving the surrounding bone a chance to heal.

Apical surgery is typically recommended when a tooth hasn't healed after root canal treatment or retreatment, or when the tooth's internal anatomy precludes conventional treatment. Backed by advanced surgical training well beyond that of a typical endodontist, our board-certified specialists use microscopic visualization and specialized instruments to perform this delicate procedure with exceptional precision and minimal discomfort, preserving your natural tooth when other options have been exhausted.

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Why choose microsurgical apicoectomy?

Benefits of apical surgery

Alternative When Traditional Treatment Fails

Offers a surgical solution when root canal treatment or retreatment cannot resolve infection, giving your tooth another opportunity to heal.

Preserves Your Natural Tooth

Allows you to keep your original tooth instead of extraction, maintaining your natural bite and preventing bone loss long-term.

Direct Access to Problem

Provides direct access to the root tip and surrounding infected tissue that may not be reachable through conventional root canal therapy.

Minimally Invasive Approach

Uses advanced microsurgical techniques and small incisions to address the problem with minimal trauma to surrounding tissues and bone.

The Procedure

Our step-by-step
surgical process

Our surgical approach combines advanced technology and meticulous technique to give your tooth the best chance at healing.

01

Pre-Surgical Evaluation

We examine your tooth with 3D imaging to understand the anatomy and develop a precise surgical plan. This preparation ensures the best possible outcome.

02

Anesthesia and Preparation

We administer local anesthesia and may offer sedation options to ensure your complete comfort. The surgical area is carefully prepared and protected.

03

Gum Access and Visualization

We make a small incision in the gum tissue to access the root tip. Our Zeiss microscope provides magnified visibility of the surgical area for precision.

04

Infected Tissue Removal

We carefully remove the infected tissue and damaged root end using specialized microsurgical instruments. Gentlewave technology may assist in thorough disinfection of the area.

05

Root End Sealing

The exposed root end is sealed with biocompatible material to prevent reinfection. The surgical site is closed with sutures to promote optimal healing.

CBCT and microscope technology used in apical surgery planning

Technology

Microsurgical technology
that changes outcomes

  • CBCT Scan Advanced 3D imaging technology that creates a complete three-dimensional view of your tooth, roots, and surrounding bone to guide our most precise treatment.
  • Zeiss Microscopes Operating microscopes provide magnified visualization of your tooth's interior, allowing our endodontists to work with exceptional precision and accuracy.
  • Gentlewave Technology Gentlewave uses fluid dynamics and acoustic waves to gently clean and shape root canals, resulting in more thorough disinfection and faster healing.
  • Digital Radiography Digital X-ray imaging delivers clearer, more detailed images than traditional film while exposing you to significantly lower levels of radiation.

Indications

When apical surgery is indicated

Failed Root Canal Treatment

When a previously treated tooth continues to cause pain or show signs of infection, apical surgery may be the best option for healing.

Blocked or Curved Canals

Teeth with severely curved or calcified root canals that prevent access through conventional treatment may benefit from the surgical approach.

Large Lesions

Significant bone lesions around the root tip may require apical surgery to remove infected tissue and allow the bone to regenerate.

Persistent Infection

Infection that persists despite multiple attempts at conventional treatment may respond well to direct surgical removal and sealing.

Saddleback Valley Endodontics microsurgical specialist team

South OC Microsurgical Specialist

Why choose us for apical surgery in Laguna Hills?

  • Advanced Expertise. Every specialist on our team holds Diplomate certification, the American Board of Endodontics' highest credential, which only one in five endodontists attain.
  • Precision Microsurgical Skills. We use Zeiss microscopes and advanced surgical instruments with exceptional precision. Our board-certified specialists have advanced surgical training well beyond the typical endodontist, so your procedure is handled with extra skill.
  • Minimally Invasive Surgical Approach. We use small, precise incisions and advanced techniques to address root-tip infections with minimal disruption. This results in faster healing and reduced post-operative discomfort.
  • Comprehensive Post-Operative Care. We provide detailed aftercare instructions to ensure smooth healing. Our doctors frequently reach out by text or call to check on you directly, supporting you through every stage of your recovery.
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Patient Reviews

What our patients say

★★★★★

“Dr Jonsson is the best doctor in the world. I've been to a handful of doctors in my life and never have I met a doctor with such amazing bedside manners and care and patience towards his patients. I went in for an emergency root canal and was crying because I was so nervous. He treated me with such care from the moment he started until he ended. I felt no pain and not even the numbing shot.”

Lizzy

Google

★★★★★

“Starting with the consultation, the staff were all very professional and patient. Dr. Jonsson spent the time to explain everything clearly and really made me feel like I was in good hands. My procedure was quick and painless. Dr. Jonsson made sure that comfort was a top priority and also explained every step of the process as we went. After the procedure, Dr. Jonsson followed up later that day to check on how I was feeling.”

Hanna Alam

Google

★★★★★

“I've had this procedure before and it was the absolute worst experience. HOWEVER, this time was the complete opposite. Dr. Jonsson and his staff assured me they would make it a better experience. Well they didn't lie. It wasn't even close. It was literally the BEST dental experience of my life. I would highly recommend Dr. Jonsson and his team for any endodontic needs. Best of the best!!”

Bert F

Google

★★★★★

“I had a stressful root canal situation and consulted Dr. Jonsson for a second opinion. He put my mind at ease after analyzing my case, and the retreatment process went very smoothly and efficiently. Going here essentially saved my tooth and this will be my go-to for endodontic care going forward.”

Sheena Miller

Google

★★★★★

“Dr. Jonsson took the time to explain every step of the procedure, answered all my questions, and ensured I was comfortable throughout the entire process. What impressed me most was their gentle touch and precise technique — I barely felt a thing! I had minimal discomfort afterward and I love that he followed up with me the same day to see how I was feeling.”

Megan Hyatt

Google

★★★★★

“I came to Saddleback Valley Endodontics with a very complex case involving inflammation and bone loss, and what I experienced was nothing short of miraculous. I never thought I would say this about a root canal, but I almost fell asleep in the chair. There was zero tension and absolutely zero pain. It wasn't general anesthesia — it was simply the result of Dr. Chu's incredible skill and the stress-free environment he creates.”

Maria Nekrasova

Google

★★★★★

“I needed a root canal. I was treated by Dr. Wayland Chu and let me tell you He is TRULY AMAZING!!! I did not feel anything and could have fallen asleep there. The most pleasant experience ever in a Dentist/Endodontic office. If I need anything in the future, this is my go-to place! 10/10!!!”

Carrillo Muay Thai Orange

Google

★★★★★

“I was having an after hours emergency this weekend. I was called Monday morning with no appointment and advised to come right in. Dr. Jonsson immediately brought me back, managed my pain and then gave me the root canal, expanding what he was doing every step to make sure I was comfortable. I cannot express enough gratitude to the compassion and swiftness Dr. Jonsson provided me with no appointment first thing on a Monday morning.”

Kelton Hudzik

Google

★★★★★

“Every step of my root canal went smoothly and comfortably. From the admin staff and professional set up of my appointment, to Dr. Jonsson and his very calming demeanor, thorough explanation, and truly gifted skills. Literally the only discomfort during the entire process was the tiny bit during numbing and then a bit of soreness a few hours later. Dr. Jonsson even followed up later that night to see how I was feeling.”

Tammy Skenderian

Google

★★★★★

“Dr. Jonsson is THE BEST endodontist! He successfully resolved a problem with an old root canal that had been done a few years ago by a previous dentist. It had been giving me pain for over a year, and other dentists were unable to solve the problem. Thanks to Dr. Jonsson's expertise, I am finally pain-free.”

luckylagunalady

Google

★★★★★

“I do biopsies for a living as a physician and I can tell you good from bad almost immediately. I noticed when Dr Jonsson stepped in the room he just looks capable. The procedure was explained very clearly and honestly I never felt anything. I can't imagine his procedure being any better than it was — no pain, I can eat fine. I give this guy a 10.”

William Smith

Google

★★★★★

“Dr. Jonsson's treatment was so much more thorough and comfortable — he walked me through all of my options, didn't put pressure on a decision, and having the actual procedure done was super easy, quick, painless and I felt totally confident that my treatment was done effectively, especially after seeing the post procedure X-rays.”

Alexa Freeman

Google

★★★★★

“By far the best dental experience I've had. He answered any questions I had, and explained any risks I may encounter. I have anxiety and he was able to provide different treatment options. Also have a bad gag reflex and was very patient working with me.”

Devin Jones

Google

★★★★★

“Dr. Jonsson was very thorough and explained all aspects. There were no surprises. He even apologized for a long appointment but I was thrilled to have it accomplished in 1 visit. He texted me that night and the next morning to follow up on my status. I felt very well cared for!”

heidi george

Google

★★★★★

“I am notoriously difficult to numb and have a tremendous level of anxiety related to even routine dental procedures. This particular tooth was one of the most difficult to numb and treat. I can say with some certainty that if I had to have this done, I'm very glad it was done here. Dr. Jonsson was exceptional in every way.”

Chris Siino

Google

★★★★★

“Hands down the best experience I've had with a root canal. Dr. Chu and his team were so professional, the procedure was faster than the other root canals that I've had from other offices, and I felt absolutely no pain during or after!”

Caroline Cheng

Google

★★★★★

“I needed a root canal and was in extreme pain. I was so well taken care of! I was able to get in in a timely manner, they even stayed late for me. Dr Jonsson explained everything to me thoroughly and made me feel at ease. I never imagined getting a root canal could be a good experience. I highly recommend Dr Jonsson and his staff.”

Courtney Vogel

Google

★★★★★

“My tooth with a 20-year-old root canal needed additional attention. Dr. Jonsson explained the benefits of a new root canal procedure using today's technologies and was able to do that immediately. The process was more comfortable than I expected and I appreciated the doctor's ongoing descriptions of what was being done and why.”

Raymond Fenwick

Google

★★★★★

“I have had two root canals here. Everyone is really nice and Dr. Jonsson is just amazing. Pain free and so easy. I have dental fears and TMJ which can make dental work challenging. Both root canals went so well I was shocked. They deserve more than 5 stars!”

Brenda Whitney

Google

★★★★★

“Dr. Jonsson is outstanding! He thoroughly explained every step of the procedure and made me feel completely comfortable. He made sure I wasn't in pain, and he was perfect at giving the numbing shots (which are usually a painful experience for me). His assistant Emily was also great, and the front desk staff were very friendly and professional.”

Cynthia Heney

Google

Frequently Asked Questions

Apical surgery FAQ

What does apical surgery cost?

Surgical costs vary depending on the complexity of your case and tooth location. We'll discuss pricing during your consultation and work with your insurance to maximize your benefits.

Does my insurance cover apical surgery?

Most dental insurance plans cover a portion of apical surgery as a medically necessary procedure. We'll verify your coverage and explain your out-of-pocket costs before surgery begins.

Is apical surgery painful?

No. We use local anesthesia and optional sedation to ensure you're completely comfortable. You may feel pressure and hear the surgical instruments, but you won't experience pain.

How long does recovery take?

Most patients experience minimal discomfort after apical surgery and can return to normal activities within a few days. Complete bone healing typically takes several months.

Will apical surgery save my tooth?

Apical surgery has a high success rate when performed on appropriate cases. We'll discuss realistic expectations and success rates for your specific situation during your consultation.

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Appointment Request

Persistent infection doesn't have to mean extraction

Call (949) 581-8890 or request a consultation online. Microsurgical apicoectomy may save your tooth.

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