Apicoectomy Specialist

What is an apicoectomy?

An apicoectomy, also called root-end surgery, is a minor surgical procedure used to save a tooth when infection or inflammation remains after a root canal treatment. During the procedure, your endodontist removes the tip of the tooth's root (the root apex), cleans the surrounding infected tissue, and seals the end of the root to prevent future infection.

An apicoectomy is often recommended when a tooth cannot heal properly with a conventional root canal retreatment, helping preserve your natural tooth and avoid extraction.

Why might I need an apicoectomy?

Your endodontist may recommend an apicoectomy if infection persists after a root canal or if a problem develops near the tip of the tooth's root. Signs and conditions that may indicate you need an apicoectomy include:

• Persistent pain or discomfort after a root canal 
• Infection that returns months or years after treatment 
• Swelling or tenderness in the gums near a treated tooth 
• A pimple-like bump (gum abscess) near the tooth 
• Inflammation or infection visible on dental X-rays 
• Cracks or complex root anatomy that cannot be treated with a standard root canal 

What happens during an apicoectomy?

Before the procedure, you'll receive local anesthesia to ensure your comfort. Sedation options are also available for patients who feel anxious about treatment.

During the apicoectomy, your provider makes a small incision in the gum to access the tip of the tooth's root. The infected tissue and the root tip are carefully removed, and the end of the root is cleaned and sealed with a special filling material. The gum tissue is then repositioned and secured with a few small stitches to allow proper healing.

Apicoectomies are completed in a single visit and are designed to preserve your natural teeth.

Protecting Your Tooth After an Apicoectomy

A tooth that has undergone an apicoectomy can continue to function successfully for many years with proper care. Following your post-operative instructions, maintaining excellent oral hygiene, attending regular dental checkups, and completing any recommended permanent restoration are all essential to promoting healing and protecting your teeth. With appropriate care and routine follow-up, your treated tooth can remain a healthy and functional part of your smile for years to come.