Apicoectomy

Apicoectomy (Surgical Root-End Procedure)

A Deeper Solution for Persistent Tooth Problems

When a tooth that’s already had a root canal becomes problematic again—often due to lingering infection—a more advanced treatment may be needed. In such cases, dental professionals often recommend an apicoectomy, also called root-end surgery. This targeted procedure treats the very tip of a tooth’s root to support healing and preserve the natural tooth structure.

What Is an Apicoectomy?

An apicoectomy is a minor surgical procedure that removes the apex (tip) of the root of a tooth. It’s typically performed when inflammation or infection persists after a root canal. Rather than removing the entire tooth, this treatment removes infected tissue and seals the root tip to prevent future issues.

Unlike traditional root canals that work inside the tooth, an apicoectomy focuses on the outer root surface and nearby bone. It’s especially useful in the following scenarios:

How the Apicoectomy Procedure Works

This precise surgical process follows these key steps:

Step 1: Consultation and Diagnostic Imaging

You’ll meet with one of our oral surgeons to review your history and obtain advanced digital imaging (such as X-rays or CBCT scans) to confirm diagnosis. We’ll evaluate if an apicoectomy is suitable or if another treatment is required, especially in cases involving loose teeth, deep infections, or fractures.

Step 2: Surgical Access

A small incision is made in the gum tissue near the affected tooth to expose the root tip and surrounding bone.

Step 3: Removal of the Root Tip and Surrounding Tissue

The root end is gently removed along with any inflamed or infected tissue to eliminate the source of the problem.

Step 4: Root-End Filling and Sealing

A biocompatible filling is used to seal the root tip internally, preventing bacteria from re-entering the canal system.

Step 5: Closing the Incision

The area is sutured using dissolvable stitches. Most procedures take 30–45 minutes depending on complexity.

Why Choose an Apicoectomy?

Who Might Need an Apicoectomy?

What to Expect During Recovery

Healing is typically smooth. Most patients resume normal routines shortly after treatment. Post-op instructions may include:

Apicoectomy vs. Root Canal Retreatment

When a root canal retreatment isn’t likely to succeed—or is technically difficult—an apicoectomy offers a direct, effective solution by targeting the root tip where problems persist.

Advanced Technology for Precision Outcomes

Our practice uses high-resolution digital imaging, microsurgical tools, and magnification to ensure efficient and accurate treatment with minimal disruption to healthy structures.

Your Comfort Is Our Priority

We focus on providing care in a calm, welcoming setting. From diagnosis through post-op care, our team is dedicated to ensuring your experience is smooth, personalized, and reassuring.

Take the Next Step

If you’ve had a root canal but still experience discomfort or infection, apicoectomy might be the key to saving your tooth. We’ll help you understand your options and guide you toward long-term relief.

Why Patients Choose Our Office

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