Apicoectomy (Endodontic Surgery)

What Is an Apicoectomy?

An apicoectomy is a form of endodontic surgery used to treat persistent infection or inflammation around the tip of a tooth’s root. While root canal therapy is usually effective, there are times when residual infection remains or resurfaces in the area near the root apex. An apicoectomy (also called root-end surgery) carefully removes the infected root tip and surrounding tissue to allow for proper healing.

This procedure is often the last step in saving a tooth before extraction becomes necessary.

When Is an Apicoectomy Recommended?

Apicoectomy may be the right option if:

• A previous root canal has failed to fully resolve the infection

• Infection persists at the root tip despite retreatment

• There’s a small cyst or abscess near the tooth root

• The root structure is complex or curved, making full cleaning during a root canal difficult

• A traditional root canal or retreatment is not possible due to dental restorations like crowns or posts

What Happens During the Procedure?

1. Evaluation and Imaging – We use advanced digital X-rays or 3D imaging to assess the root tip and surrounding bone.

2. Local Anesthesia – The area is numbed for comfort throughout the procedure.

3. Small Incision – A small opening is made in the gum tissue near the affected tooth.

4. Root-End Removal – The infected root tip and surrounding tissue are gently removed.

5. Sealing – The end of the root canal is cleaned and sealed with a special filling material.

6. Closure – The gum is sutured, and healing begins.

The entire process typically takes under an hour, and most patients recover quickly with minimal discomfort.

Why Choose Cornerstone Dental Arts for Endodontic Surgery?

Our experienced dental team offers advanced care with a gentle touch. We prioritize your comfort and use modern surgical tools and techniques to ensure precision, safety, and a smooth recovery. Whether you’ve had a past root canal or are seeking a second opinion, our team is here to help preserve your natural smile.

Recovery and Aftercare

• Mild swelling or soreness is normal and typically resolves within a few days.

• Ice packs and over-the-counter pain relief can help manage discomfort.

• Avoid chewing in the area until fully healed.

• Follow-up appointments will monitor healing progress.

Most patients return to normal activity within 24–48 hours.

Frequently Asked Questions (FAQs)

Q: Is an apicoectomy painful?
A: The procedure is performed under local anesthesia, so you won’t feel pain during surgery. Mild post-operative discomfort is normal but short-lived.

Q: Will I be awake for the procedure?
A: Yes, this is an outpatient procedure done with local anesthetic. We’ll make sure you’re relaxed and comfortable.

Q: How is this different from a root canal?
A: A root canal treats the inside of the tooth from the crown down. An apicoectomy treats infection at the root tip from the outside—through the gum and bone.

Q: How successful is an apicoectomy?
A: Apicoectomies have a high success rate, especially when infection is localized. Most treated teeth last for many more years.

Q: Is extraction ever necessary?
A: Only if the tooth can no longer be saved. Our goal is always to preserve your natural teeth whenever possible.