Endodontists in
San Francisco

Our Location
490 Post St. Suite 1516
San Francisco, CA 94102

Tel. (415) 398-4964
Fax. (415) 398-0147









Most root canal procedures are non-surgical, and involve removing the injured pulp through the top surface of the tooth. Once the infected tissue is removed, the canal(s) are cleansed and shaped to remove all traces of tissue and bacteria. Then a sterile, inert material is placed in the canals to seal the tooth and prevent reinfection. Finally, a temporary filling is placed in the access opening.

After the root canal procedure is completed at our office, your restorative dentist will usually seal the root canal access opening with a crown on back teeth or a filling on front teeth.

Sometimes it is necessary to "retreat" or "revise" a root canal because of infection after initial treatment. Most cases are caused by inadequate or incomplete prior root canal therapy, complicated canal anatomy or contamination with oral bacteria through a leaking restoration. Our team is experienced in retreatment procedures, and can usually return your tooth and surrounding tissues to health.

Once we perform an examination, treatment options will be explained. Then we will reopen your tooth and remove the previous root canal filling materials. We will then carefully reclean the canals and evaluate your tooth using a special operating microscope along with digital radiography. Once your tooth has been cleaned and shaped, we will place filling materials into the canals to seal the root canal system.

Postoperatively, your general dentist will place a new restoration or repair your current restoration. Possible complications from this procedure are similar to those in the original endodontic procedure; however, the success rate for revision procedures is generally lower.

Occasionally an infection can develop or persist after root canal therapy. If this occurs, revision (retreatment) of the root canal may be required. If revision therapy is not successful in eradicating the infection, it may be necessary to surgically remove the infected root tip(s) or apex and the surrounding tissue. This procedure is known as apical micro-surgery or an apicoectomy.

Before the procedure, a thorough examination and diagnosis will be performed. Then the procedure will be explained and a verbal and written consent obtained. On the day of surgery, local anesthetic will be administered and an incision will be made to gain access to the infected area. The entire procedure is done using a ceiling mounted operating microscope with fiber optic lighting. Once the infected area around the apex is cleaned, the tip of your root will be resected and sealed. Then resorbable sutures will be placed and an ice pack applied.

You will be given medication to alleviate discomfort and return home for the rest of the day. Most patients will have minor swelling, occasional bruising and transient numbness. You will be instructed to update your status the day after treatment and will be followed carefully until healing is complete.

Your safety and comfort during all phases of treatment is a priority of our team.