Central Virginia Endodontic Surgery
Save natural teeth and relieve deep-rooted pain
Endodontic treatment for complex dental problems
When a tooth’s root becomes infected or inflamed — often from trauma, cracks, or deep decay — surgery may be needed to preserve the tooth and avoid extraction. At Commonwealth Dentistry, we offer expert endodontic surgery, including apicoectomy procedures, to help patients find relief and protect their long-term oral health.
Endodontic surgery involves accessing the root tip of the affected tooth, removing infected tissue, and sealing the area to prevent reinfection. This precise procedure can often save teeth that haven’t responded to traditional root canal therapy, and it’s performed right here in Central Virginia with comfort, safety, and precision in mind.
Specialized care, close to home
Our experienced team uses advanced imaging and microsurgical tools to perform minimally invasive root-end surgery with confidence.
Prioritizing comfort at every step
We offer a full range of sedation options and work gently to ensure a smooth, stress-free experience from consultation through recovery.
Accessible, transparent pricing
We work with most insurance plans and offer flexible payment plans to make care affordable and worry-free.
Trusted for advanced endodontic care
Commonwealth Dentistry is proud to offer endodontic surgery right here in Central Virginia — no need for outside referrals or long-distance travel.
Don’t wait to treat chronic tooth infection
When infection persists after a root canal — or occurs near the tip of a tooth’s root — the symptoms can be subtle but serious. Left untreated, the problem may lead to swelling, discomfort, or even tooth loss. Endodontic surgery helps preserve the tooth’s structure and eliminate the infection before it spreads.
What to expect from endodontic surgery
- We begin with a thorough exam, digital imaging, and diagnostic tests to determine if surgery is the right solution.
- During the procedure, we access the tip of the root through the gum and remove infected or damaged tissue.
- The root tip may be shaved or removed entirely, and the area is cleaned and sealed to promote healing.
- Sutures are placed, and detailed post-op instructions are provided for a smooth recovery.
- Follow-up appointments help us track your healing and ensure long-term success.
Benefits of endodontic surgery
Preserves your natural tooth and jawbone
Offers an alternative when traditional root canal retreatment isn’t effective
Can resolve lingering pain or swelling from previous procedures
Prevents the need for extraction and tooth replacement
Prevents the need for extraction and tooth replacement
Endodontic Surgery FAQs
What is an apicoectomy?
An apicoectomy is a type of endodontic surgery where the tip of a tooth’s root is removed, along with any infected tissue. It’s often recommended when a root canal alone hasn’t fully resolved the problem.
Does the procedure hurt?
Most patients experience little discomfort thanks to local anesthesia and sedation options. You may feel mild soreness after surgery, but it typically resolves within a few days.
How do I know if I need endodontic surgery?
If you’ve had a root canal and still experience symptoms — such as swelling, pain, or sinus issues near the tooth — surgery may be the best next step. We'll perform diagnostic imaging to determine if it’s appropriate.
What are the risks of delaying treatment?
Infection can worsen over time, damaging bone and potentially leading to tooth loss. Prompt treatment gives you the best chance of preserving the tooth and avoiding more complex procedures later.
How long is the recovery?
Most patients return to normal activities within 24–48 hours. We’ll provide clear aftercare instructions and stay in touch to monitor your progress.
Our Endodontists
Dr. Bilal Khan
Bilal Khan, BDS, CAGS Endodontics, brings a wealth of experience and advanced training to our practice. Originally from Karachi, Pakistan, he completed dental school at Dow University of Health Sciences and furthered his expertise with an AEGD program at the University of Connecticut School of Dental Medicine. He then pursued advanced endodontic training at Boston University Henry M. Goldman School of Dental Medicine.
Dr. Khan is dedicated to providing efficient, high-quality endodontic care with a focus on patient comfort and collaboration. His warm approach ensures patients feel at ease and fully informed throughout their treatment. His skills include surgical and non-surgical root canal treatments, molar and non-molar root canals, retreatments, and apicoectomies. Dr. Khan is passionate about alleviating his patients’ pain and saving their teeth.
Outside of dentistry, Dr. Khan enjoys outdoor activities, hiking, and family game nights with his wife and daughter. He has a keen interest in music, shoes, and watches, appreciating the craftsmanship of quality timepieces.
Our endodontists are serving at the following locations…
Richmond (Forest Hill) Office
6750 Forest Hill Ave., Suite B
Richmond, VA 23225
(804) 653-4290
Hours:
Monday-Thursday: 8:00am-5:00pm
Friday: 8:00am-2:00pm
Saturday-Sunday: Closed
Chester Office
2930 W Hundred Road, Suite B
Chester, VA 23831
(804) 799-1689
Hours:
Monday-Thursday: 8:00am-5:00pm
Wednesday: Closed
Friday 8:00am-2:00pm
Saturday-Sunday: Closed
Hear From Our Patients
The staff are very friendly and helpful. The dentist was highly skilled, knowledgeable, and down to earth. Commonwealth Dentistry delivers high-quality care to its patients.
Suzette S.
Colonial Heights
Commonwealth dentistry does great work for our entire family. I have never liked going to the dentist, but they are gentle and ease that fear. They are great with children and adults.
Katrina C.
Midlothian
My visit today was extremely calming. The staff is all friendly and willing to assist you with any questions or concerns you may have. I will definitely keep going to Commonwealth Dentistry.
Kendra A.
Prince George
I am a new patient with Commonwealth Dentistry. I had a great visit. The staff was very professional and accommodating. I felt completely at ease.
Cynthia F.
Kenbridge
This dental office changed my whole attitude about dentistry. Very professional environment. All the staff is extremely welcoming and nice. They are there to provide a beautiful smile.
Kathryn E.
Suffolk
The dentist and staff are great. I generally do not like going to the dentist and getting work done, but they made the experience very comfortable and easy. I highly recommend going here!
Heather P.
Colonial Heights
We absolutely adore this dentist's office — definitely the most child-friendly office we have visited. All of the staff members are professional, skilled, and kind. Highly recommend it! :)
Kayla F..
Colonial Heights
I checked in as a new patient and immediately felt at home. It's hard to describe, it was just an intuitive vibe. The staff was kind and warm to patients and to one another. Highly recommend.
Robert P.
Midlothian
I love this dentist and the staff. They are going to make me smile harder than I ever have! Very welcoming and polite, and the office feels so inviting. I’ll recommend them to everyone I know.
Shaquan H.
Crewe
My granddaughter’s first visit and it was a wonderful experience. Everyone was so nice and patient with her. There was absolutely no waiting time once we arrived for her appointment. Great visit and outcome!
Patrice J.
Prince George
Very nice, clean office. Friendly staff. Knowledgeable. My hygienist did a very nice job cleaning my teeth.
Connie F
Palmyra
Best dental experience I’ve ever had. The entire staff is welcoming and truly cares about their patients and about the quality of work they do. If I could leave more than 5 stars, I would.
John B.
Palmyra
Very professional, thorough, and courteous. I’m always impressed with the always friendly visits.
Gary S.
Kenbridge
Group of awesome people that care. They are so patient with me and have done excellent work on my needs.
Barbara M
Crewe
I would recommend this dentist to anyone. I had a dental emergency and they helped me right on the same day and treated me as well! Great and professional atmosphere!
Natasha V.
Suffolk
Becoming a patient is easy
Are you ready for a dentist who puts you first?
Finally, the dental experience you deserve. Appointments at Commonwealth Dentistry are convenient, efficient, and provide you with the personal attention you deserve.
What to expect at your first appointment:
- Meet with your hygienist for a comprehensive exam and X-rays
- Full professional dental cleaning and polish for most patients
- We’ll investigate for periodontal disease or any other underlying issues
- Create a personalized care plan and answer your questions
New Patients Always Welcome!
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Our dentists, specialists, and care team are ready to help you look and feel your best.
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