In some cases access to the root canals of the tooth is complicated, but it doesn?t mean that root canal treatment is impossible. Endodontists in Rhode Island offer alternative to root canal treatment - endodontic surgery. This procedure involves the creation of access to the root apex of a tooth using a surgical incision. These procedures include resection of the root apex. Endodontic surgery may also be recommended by the endodontist due to repeated endodontic treatment, or as an alternative to it. Your doctor will discuss with you possible treatment options and provide appropriate recommendations.