
Endodontic Surgery

Dr. Ahmed Sadek at Marina Endodontics understands that some dental conditions require more advanced treatment than traditional root canal therapy can provide. When non-surgical endodontic treatments aren’t sufficient to save your tooth, endodontic surgery offers a specialized solution to preserve your natural smile. With over 20 years of experience and advanced training from New York University College of Dentistry, Dr. Sadek provides comprehensive surgical endodontic care for patients throughout Long Beach, California.
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Understanding Endodontic Surgery
Endodontic surgery represents a specialized branch of dental treatment that addresses complex issues within your tooth’s root system and surrounding tissues. Unlike traditional root canal therapy that accesses the tooth’s interior through the crown, surgical endodontics involves creating a small incision in your gum tissue to directly reach the root tip and surrounding bone. This approach becomes necessary when infection, damage, or anatomical complications prevent successful treatment through conventional methods.
Your tooth’s root system can develop problems that standard endodontic procedures cannot adequately address. These situations often involve persistent infections that haven’t responded to initial root canal treatment, complex root anatomy that makes traditional access difficult, or damage to the root tip itself. Endodontic surgery provides direct visualization and access to these problematic areas, allowing for precise treatment and better long-term outcomes for your oral health.
Types of Endodontic Surgeries We Offer
Marina Endodontics offers comprehensive surgical endodontic treatments tailored to your specific dental needs. Our advanced surgical techniques ensure optimal outcomes while maintaining your comfort throughout the treatment process.
Apicoectomy
An apicoectomy involves removing the tip of your tooth’s root along with any infected tissue in the surrounding bone. Dr. Sadek creates a small incision in your gum to access the root tip directly, then removes the damaged portion and places a biocompatible seal. This procedure effectively eliminates persistent infections that haven’t responded to traditional root canal treatment while preserving your natural tooth structure.
Root Amputation
Root amputation removes one or more roots from a multi-rooted tooth while preserving the remaining healthy roots and crown portion. This surgical procedure becomes necessary when one root is severely damaged by infection, fracture, or periodontal disease while other roots remain healthy. The affected root is carefully separated and removed, allowing the remaining tooth structure to continue functioning normally with proper restoration.
Resorption Repair
Resorption repair addresses the progressive destruction of your tooth’s root structure caused by trauma, orthodontic movement, or other factors. This condition can cause significant weakening of your tooth if left untreated, potentially leading to tooth loss. Dr. Sadek removes the resorbed tissue and places specialized materials to restore the root’s integrity, helping preserve your natural tooth for years to come.

Our Endodontic Surgery Process
Dr. Sadek follows a systematic approach to endodontic surgery that prioritizes precision and patient comfort. Each phase is designed to ensure optimal outcomes while keeping you informed throughout your treatment.
- Evaluation and Diagnosis
- Surgical Planning
- Surgical Technique
- Care Instructions
- Monitoring and Assessment
Comprehensive Evaluation and Diagnosis
Dr. Sadek conducts a thorough assessment of your tooth using advanced 3D imaging technology to identify the exact location and extent of the problem. This detailed examination allows him to determine whether endodontic surgery is the most effective solution for your specific condition. You’ll receive a clear explanation of his findings and recommendations, ensuring you understand why surgical intervention is necessary for preserving your tooth.
Personalized Surgical Planning
Your unique dental anatomy and medical history guide the development of your customized treatment approach. Dr. Sadek maps out the precise surgical technique required for your case, considering factors such as root structure complexity and proximity to vital structures. This meticulous planning phase ensures the safest and most effective surgical procedure tailored specifically to your needs.
Precision Surgical Technique
Using microsurgical instruments and techniques, Dr. Sadek performs your endodontic surgery with exceptional accuracy and minimal tissue disruption. Local anesthesia ensures your complete comfort while advanced visualization tools allow for precise removal of infected tissue and placement of biocompatible sealing materials. The surgical site is carefully closed to promote optimal healing and restore the natural contours of your gum tissue.
Post-Surgical Care Instructions
Detailed recovery guidelines help you manage any post-operative discomfort and promote proper healing of the surgical site. Dr. Sadek provides specific instructions regarding pain management, dietary recommendations, and oral hygiene modifications during your recovery period. His team remains available to address any questions or concerns that may arise as you heal from your procedure.
Healing Monitoring and Assessment
Regular follow-up visits allow Dr. Sadek to track your recovery progress and confirm the success of your surgical treatment. These appointments include clinical evaluation and periodic imaging to ensure the treated area is healing properly and the infection has been eliminated. Your follow-up care continues until complete healing is achieved and normal tooth function is restored.

Why Choose Us for Endodontic Surgery
Marina Endodontics combines advanced surgical expertise with a patient-centered approach that prioritizes your comfort and treatment success. Dr. Sadek’s extensive experience, including his military service and leadership roles in prestigious dental associations such as the Harbor Dental Society and American Association of Endodontists, ensures you receive the highest standard of specialized care. Our practice utilizes modern surgical techniques and equipment to provide precise, minimally invasive treatments that promote faster healing and better outcomes.
Your comfort and peace of mind remain our top priorities throughout the entire treatment process. We understand that endodontic surgery can feel overwhelming, which is why our team takes time to explain each step of your treatment and answer all your questions. Our commitment to excellence has made us a trusted referral destination for dentists throughout the Long Beach area who seek specialized endodontic care for their patients.
Expert Surgical Solutions for Complex Root Problems!
Dr. Ahmed Sadek’s precision microsurgical approach offers hope when traditional treatments have failed to resolve persistent root infections. Don’t let complex dental problems force you into tooth extraction when surgical solutions can restore your oral health.
Marina Endodontics combines cutting-edge technology with Dr. Sadek’s extensive expertise to deliver outstanding results for patients throughout Long Beach. Follow us on Facebook and Instagram for the latest endodontic innovations and patient success stories. Call our team today at 562-431-3636 to schedule your consultation and discover how our specialized endodontic surgery can preserve your smile.
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FAQs
What is endodontic surgery?
Endodontic surgery is a specialized dental procedure that treats infections or damage in your tooth’s root system through a surgical approach rather than through the tooth’s crown. This treatment involves making a small incision in your gum tissue to directly access the root tip and surrounding bone structures. Endodontic surgery becomes necessary when traditional root canal therapy cannot adequately address complex root problems or persistent infections.
What are the types of endodontic surgery?
There are several types of endodontic surgeries that may be performed depending on the specific case and needs of the patient. These include:
- Apicoectomy
- Resorption repair
- Root amputation
Why do I need endodontic surgery vs. root canal treatment?
Endodontic surgery may be necessary for cases where non-surgical treatments such as root canal therapy have failed or are not possible. It is also used to address more complex and severe tooth damage or infection cases, including cysts or lesions in the surrounding bone. Additionally, endodontic surgery may be recommended for our patients with anatomical variations that might make more traditional root canal treatment challenging.
How long does swelling last after endodontic surgery?
Swelling after endodontic surgery typically peaks within the first 48 to 72 hours following your procedure and then gradually subsides over the next several days. Most patients experience the majority of swelling resolution within one week, though minor swelling may persist for up to two weeks in some cases. Applying ice packs during the first 24 hours and following your post-operative instructions will help minimize swelling and promote faster healing.
How long for endodontic surgery to heal after?
Complete healing from endodontic surgery generally takes several weeks to a few months, depending on the complexity of your procedure and your individual healing capacity. Initial soft tissue healing typically occurs within two to three weeks, while bone regeneration around the surgical site continues for several months. Dr. Sadek will monitor your progress through follow-up appointments to ensure proper healing and treatment success.
What is an apicoectomy?
An apicoectomy is a surgical procedure that removes the tip of your tooth’s root along with any infected or inflamed tissue in the surrounding bone. This treatment is performed when infection persists at the root tip despite previous root canal treatment or when retreatment through the crown is not feasible. The procedure involves accessing the root tip through your gum tissue and sealing the root canal with biocompatible materials.
How long after apicoectomy can I eat normally?
You can typically return to your normal diet approximately one to two weeks after your apicoectomy, once initial healing has occurred and any sutures have been removed. During the first few days following surgery, stick to soft foods and avoid chewing on the treated side to prevent disruption of the healing tissues. Dr. Sadek will provide specific dietary guidelines based on your individual healing progress and the complexity of your procedure.
What is a root amputation?
Root amputation is a surgical procedure that removes one or more roots from a multi-rooted tooth while preserving the remaining healthy roots and crown structure. This treatment becomes necessary when one root is severely damaged by infection, fracture, or periodontal disease while the other roots remain healthy and functional. The procedure allows you to keep your natural tooth rather than having it extracted, maintaining your bite function and smile aesthetics.


