An apicoectomy is a small surgical procedure performed on a tooth that has already had root canal treatment but still has a persistent infection at the tip of the root. The goal is to remove the infected root tip and the surrounding inflamed tissue so the tooth can be preserved.
It is sometimes called root-end surgery or endodontic surgery.
When an apicoectomy is considered
Most teeth that receive a root canal heal normally. In some cases, however, infection or inflammation continues around the root tip. This can happen because of:
- Complex root anatomy that could not be fully cleaned during the original root canal
- A persistent cyst or granuloma
- A fracture or other issue at the end of the root
- Reinfection after a previous root canal
An apicoectomy may be recommended when the tooth still has a reasonable chance of long-term survival and the patient prefers to keep it rather than extract it.
Infectious lesion present in a tooth
previously treated with a root canal
Accessing the zone with surgical instruments
How the procedure is done
Most teeth that receive a root canal heal normally. In some cases, however, infection or inflammation continues around the root tip. This can happen because of:
- Complex root anatomy that could not be fully cleaned during the original root canal
- A persistent cyst or granuloma
- A fracture or other issue at the end of the root
- Reinfection after a previous root canal
An apicoectomy may be recommended when the tooth still has a reasonable chance of long-term survival and the patient prefers to keep it rather than extract it.
Removal of infected tissue
Preparation and sealing of root tip
What to expect afterward
Mild swelling and discomfort are normal for a few days. Most patients return to normal activities relatively quickly. We provide clear post-operative instructions and appropriate medication when needed.
Closure and suturing of surgical
intervention area
Apicoectomy successfully realized
and the body fills in bone tissue over time
Success and limitations
Apicoectomy can successfully extend the life of a tooth in carefully selected cases. Success depends on factors such as the length and condition of the remaining root, the quality of the existing restoration, the health of the surrounding bone, and the patient’s overall oral situation.
It is not the right solution for every tooth. When the prognosis is poor, extraction and replacement with a dental implant may be the more predictable long-term option.
Need an evaluation?
If you have a tooth with a previous root canal that is still causing problems, we can review your X-rays and help determine whether an apicoectomy is a realistic option or whether another approach would be more appropriate.
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