Apiectomy

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Apiectomy

An apicoectomy, also known as root tip surgery, is a dental procedure performed to treat an infection at the very tip (apex) of a tooth root. It's typically considered when a root canal treatment hasn't successfully resolved the issue.

Similar to a root canal, there might be some mild discomfort after the procedure. Our dentists will prescribe pain medication and provide specific aftercare instructions, including proper oral hygiene and dietary modifications.

Why is an Apicoectomy Needed?

1. Failed Root Canal:
If a root canal fails to eliminate the infection or bacteria persists in the root tip, an apicoectomy might be necessary.

2. Persistent Infection
This could be due to complex root canal anatomy, missed canals during the initial procedure, or a new infection.

3. Bone Loss:
In some cases, the infection at the root tip can lead to bone loss around the tooth. Apicoectomy can help preserve the bone and prevent further complications.

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If you experience persistent pain or swelling after a root canal, or have any signs of an ongoing infection, consult our dentist to determine if an apicoectomy is necessary.Contact us by clicking the button below.

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Frequently asked questions

An apicoectomy, also known as root tip surgery, is a dental procedure that removes the infected tip (apex) of a tooth root. It's typically performed when a root canal hasn't successfully eliminated the infection.

There are several reasons why an apicoectomy might be necessary:
  • Failed Root Canal:If a root canal treatment fails to eliminate the infection or bacteria persists in the root tip, the infection can continue to cause problems.
  • Persistent Infection:This could be due to complex root canal anatomy, missed canals during the initial procedure, or a new infection.
  • Bone LossIn some cases, the infection at the root tip can lead to bone loss around the tooth. Apicoectomy can help preserve the bone and prevent further complications.

The procedure typically involves the following steps:
  • Local anesthesia to numb the area.
  • Gum incision to access the underlying bone.
  • Removal of bone tissue to expose the root tip.
  • Precise removal of the infected portion of the root tip.
  • Thorough cleaning and sealing of the remaining root canal.
  • Stitching the gum tissue closed to promote healing.

  • Saves the tooth:Allows you to keep your natural tooth, which is preferable to extraction.
  • Resolves infection:Effectively removes the source of the infection and promotes healing.
  • Preserves bone:Helps preserve bone tissue around the tooth, crucial for long-term dental health.

Similar to a root canal, expect some mild discomfort after the procedure. Your dentist will provide specific instructions on pain management, proper oral hygiene, and dietary modifications.

Yes, an apicoectomy is a more complex procedure requiring specialized techniques and tools.

Success rates are generally high, but not guaranteed. Factors like the severity of the infection and complexity of the case can influence the outcome.

Apicoectomy costs are typically higher than a root canal due to the increased complexity of the procedure.

  • Repeat Root Canal: In some cases, a more thorough root canal may be attempted before resorting to surgery.
  • Tooth Extraction: If the tooth is severely damaged or the apicoectomy is not recommended, extraction might be the only option.

Consult your dentist if you experience:
  • Persistent pain or swelling after a root canal.
  • Signs of an ongoing infection, such as tenderness, pus discharge, or a bad taste in your mouth.

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