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An apicoectomy, also known as root-end surgery, is a minor surgical procedure that removes the tip of a tooth’s root, known as the apex, along with surrounding tissue. This procedure is typically recommended when a root canal treatment has failed to completely heal the tooth or if there’s a persistent infection at the root tip. By addressing the problem directly at the root, an apicoectomy aims to eliminate infection and preserve the natural tooth structure.
After a root canal, if an infection develops or continues at the root tip, an apicoectomy can address the issue.
In cases where the tooth’s root structure is complex or has narrow or curved canals that standard procedures can’t effectively treat, an apicoectomy provides a direct approach to remove the infection.
Surgery may be necessary when calcium deposits make the canal too narrow for instruments used in nonsurgical root canal treatment to reach the root’s end.
Understanding the process can alleviate concerns and prepare you for what to expect:
As with any surgical procedure, there’s always a slight risk of infection, which is typically managed with antibiotics.
Depending on the tooth’s location, there’s a minimal risk of nerve injury, leading to temporary or permanent numbness.
There’s a rare possibility of sinus complications for upper teeth.
If you’ve undergone root canal therapy and are still experiencing symptoms or imaging reveals a persistent infection at the root’s tip, an apicoectomy may be the recommended course of action. Consulting with a skilled endodontist is critical to evaluating your situation and determining the best treatment plan.
At 900ENDO, we understand the importance of preserving your natural teeth and maintaining a healthy, confident smile. Our experienced team specializes in advanced endodontic procedures, including apicoectomies, ensuring you receive the highest standard of care
