Apicoectomy

Apicoectomy

Why do I need endodontic surgery?

Occasionally, a root canal, which is a non-surgical procedure, will not be enough to heal the tooth and your endodontist will recommend endodontic surgery. An Apicoectomy [endodontic surgery] can be used to find hidden fractures or canals not visible on x-rays. Damaged root surfaces or surrounding bone can also be treated with this procedure. The most common surgery used to save damaged teeth is an apicoectomy, or resection of the root-end of the tooth.

Apicoectomy procedure

This video illustrates an apicoectomy procedure.


An incision is made in the gum tissue to expose the bone and surrounding inflamed tissue. The damaged tissue is removed along with the tip end of the root. If there is enough infected or inflamed tissue, it will be saved for a biopsy evaluation. The root end is then restored by placing a restorative material to prevent reinfection of the root, granulated bone material (bone graft) is placed to help in bone regeneration and then the gingiva is sutured. The bone will heal naturally around the root over a period of months.


After the procedure, there may be some discomfort or mild swelling while the incision and bone heals. This is normal in any surgical procedure. To alleviate discomfort, a suitable pain medication will be recommended.


If you have pain that doesn’t respond to medication, please call our office.

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