How much does an Apicoectomy cost in Kansas?
Underlined terms link to definitions in the Pearl Dental Glossary.
What is this procedure?
About this procedure
An apicoectomy is a surgical procedure to remove infection from the tip (apex) of a tooth root when a previous root canal has failed. Performed by an endodontist (root canal specialist). Cost varies by tooth location (front teeth simpler/cheaper, molars more complex/expensive) and whether the previous root canal restoration must be removed.
Price factors
What affects the cost?
- Tooth location: Front teeth ($900-1,400), premolars ($1,100-1,600), molars ($1,400-1,900)
- Multiple roots: Molars have multiple roots, each requiring treatment
- Provider: Endodontist (specialist, more expensive) vs general dentist (uncommon)
- Imaging: CBCT scan often required ($300-500)
- Microsurgical technique: Use of operating microscope adds expertise and cost
By city
Cities we cover
Pearl has city-level pricing in these covered cities. Click a city to see local fee ranges, what affects the quote, and your estimated out-of-pocket.
Quote checker
What should your quote include?
Different offices bundle costs differently. Here's what a complete quote typically covers — and what's often left out.
Usually included in the quoted price
- Local anesthesia (sometimes sedation)
- Surgical access to root tip
- Root-end resection and filling
- Bone grafting if needed
- Sutures
Often billed separately — ask before you agree
- Crown replacement if the existing crown must be removed for access
- Tooth extraction if the procedure can't save the tooth
Health stakes
What happens if you delay treatment?
Restorative procedures are usually recommended once a tooth has lost too much structure to remain stable on its own. Waiting rarely makes the situation simpler.
- Procedure fails to resolve infection in 5-15% of cases, leading to extraction
- Post-op swelling and discomfort for 3-7 days
- Nerve injury (rare, more common in lower posterior teeth)
- Sinus complications for upper molars near sinus
Before you agree
Questions to ask your dentist
A good dentist won't mind these. Print this list or take a photo before your next visit.
- What's the success rate for this specific case?
- Is extraction and implant a better long-term option than apicoectomy?
- What if the apicoectomy doesn't work?
Coverage
Insurance & coverage notes
Insurance coverage varies by procedure type. For Apicoectomy, typical coverage tiers are: No Insurance $900 - $1,900, Basic Insurance $700 - $1,500, Major Insurance $450 - $1,000.
Common questions
Frequently asked questions
Why would I need an apicoectomy after I already had a root canal?
Root canals can fail 5-15% of the time. The infection at the root tip persists despite cleaning the canal. Rather than re-doing the entire root canal, an apicoectomy surgically accesses just the root tip from outside the gum and removes the infected portion. Often saves the tooth from extraction.
Should I get an apicoectomy or just extract the tooth and get an implant?
Depends on the tooth and your circumstances. Apicoectomy is cheaper short-term ($900-1,900 vs $5,000+ for implant), preserves your natural tooth, and is faster. Implant lasts longer and has higher long-term success rate. If the tooth has multiple problems beyond root infection (significant decay, crack, periodontal disease), extraction + implant may be better.
Does insurance cover apicoectomy?
Most plans cover endodontic surgery (apicoectomy) at 50% under major services, subject to your annual maximum. CBCT imaging is sometimes covered separately. The crown to restore the tooth (if needed) has its own coverage rules.
See local pricing
What does this cost in your city?
Pearl's cost data is calculated for every U.S. ZIP. Search your area to see local fee ranges, what insurance typically pays, and your estimated out-of-pocket.
Find your local price →