Mary2 months ago
★★★★★
Everything was great. Thank you all for making my visit s great experience.
Standard root canals treat infections from inside the tooth's canal system by removing damaged pulp. However, because root structures possess microscopic, branching networks near the apex, bacteria can occasionally hide and persist at the very tip of the root. This is often caused by complex local anatomy, an undetected accessory canal, or a tiny micro-fracture near the apex. An apicoectomy bypasses the upper tooth crown entirely, approaching the persistent infection surgically from beneath the gum line. By removing the actively infected tissue along with the last few millimeters of the root tip, we clear out the bacterial reservoir and apply a bioceramic seal from below to prevent re-infection.
Best when: The original root canal filling material can be easily accessed, canals were missed during initial therapy, or inadequate filling depth can be safely cleaned and replaced non-surgically.
Not ideal when: A permanent post or complex porcelain crown makes entering the tooth highly destructive, internal root anatomy is blocked, or infection is locked tightly at the root tip.
Best when: The existing root canal filling is dense and well-filled, an expensive post or crown cannot be safely disturbed, and the persistent infection is isolated exclusively at the root tip.
Key advantage: A precise microsurgical approach cleans and seals the root end from the outside, achieving a 85%–95% success rate to save your natural tooth.
Best when: The tooth structure is non-restorable, a vertical root fracture is present, or both non-surgical and surgical endodontic attempts have failed.
Not ideal as a first resort: Losing a natural tooth has permanent structural and financial consequences. We always exhaust tooth-saving options first.
The Microsurgical Sequence
Local anesthesia is thoroughly administered to secure complete numbness. Conscious sedation options are available for highly anxious patients. You will feel pressure but no sharp pain.
A small incision is made in the gum tissue near the root apex. The persistent infection and inflamed tissue are thoroughly removed from around the root end under direct vision.
The final few millimeters of the root tip are removed. The root end is prepared and sealed with a advanced, biocompatible retro-filling material to permanently prevent re-infection from below.
The gum tissue is gently sutured back into place. Over the next 3 to 6 months, natural bone structure heals completely over the sealed root tip. The tooth remains fully functional.
We perform apicoectomies directly in our familiar, comfortable office environment — completely avoiding the extended wait lists, travel times, and high specialist costs of an external endodontic surgery clinic.
Our team utilizes specialized high-power surgical loops and illuminated magnification tools during root end surgery. This allows for microscopic precision that is impossible without enhanced visualization.
We believe your biological teeth are always worth fighting for. We recommend an apicoectomy only when clinical data confirms the tooth has an excellent long-term prognosis. If extraction is necessary, we tell you honestly.
Everything was great. Thank you all for making my visit s great experience.
Very good experience today thanks.
Knowledgeable and friendly staff, couldn’t ask for a better experience!
The Best People. At the end of the day that does nothing but demand confidence.
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My hygienist Kristin did a fantastic job cleaning my teeth. Gentle yet thorough. I will…
Always listens, always gentle!!
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Very friendly, very professional..
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Dr. Welles is the BEST DENTIST in town. I’ve been seeing Dr. Welles since he…
Leah always keeps me abreast of my oral health along with asking about any questions/concerns….
Great service and flexible scheduling for a follow up appointment
It’s never fun when you have to have a crown put on your tooth, but…
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Doctor Welles and hygienists Denise took excellent care of me addressing my immediate needs
Hygienist is very friendly and thorough
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I had an issue with a tooth. I stopped in to see if they could…
I so enjoyed the staff and dentist today. They all were very friendly and Dr….
Everyone from the receptionist, hygienist and dentist were very kind and professional! I've heard it…
The person who cleaned my teeth did a very good kob
Hygienists are great, doctors are very thorough. Highly recommend Dr.Wells.
Kara does a fantastic job; explains all aspects of cleaning process and dental health. She…
Everyone was plesant and did a great job.
Denise explained everything thoroughly and made quick work in doing her job with my teeth.
Very professional, and great ppl. Highly recommend
Always very friendly service!
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When my temporary crown was put in, I was told if I had any problems,…
Very courteous,polite, caring professional people. The experience was quick, and painless.
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Dr Welsh is an excellent dentist who cares that his patients are happy with the…
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My first experience at Weston Smiles and Dr Welles kind of an emergency appt, but…
Always a great job. The staff at Weston Smiles Dental impressed me with their clean…
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Great dental visit, Dr Ben and staff are excellent.
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My dental hygienist, I think her name was Hailey, was very sweet, good conversation and…
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My experience was pleasant and timely! Thanks Weston Smiles Team!
This place Rocks they are so awesome couldn't ask for a better experience ❤️❤️❤️❤️❤️❤️❤️❤️❤️❤️❤️❤️❤️❤️❤️❤️❤️❤️
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Dr. Welles is by far the greatest dentist I have ever had the pleasure of…
Dr. Wasleske and Team, I was in significant pain from a tooth issue, your team…
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I’m always well taken care of!
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Professional, Clean, Friendly, Speaks in Patient Terms
Linda was great , the best hygienist I’ve had there. Listened, ask the right questions,…
Always very pleased with professional care I receive at Weston Smiles!
My appointment was very informative and they sent me a referral to take care of…
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The non-surgical alternative to an apicoectomy — highly appropriate when the internal root canal system can be completely renegotiated and cleaned.
Initial endodontic root therapy — the non-surgical baseline treatment that always precedes the need for an apicoectomy in most cases.
If a tooth ultimately cannot be saved due to a root fracture, a custom dental implant serves as our gold standard permanent replacement option.
We provide advanced micro-endodontic diagnostics and gentle surgical therapies for families throughout Weston Smiles Dental, WI.