Apicoectomy

Why would I need endodontic surgery?

Generally, a root canal is all that is needed to save teeth with injured pulp from extraction. Occasionally, this non-surgical procedure will not be sufficient to heal the tooth and the doctor will recommend apical surgery. Apical or endodontic surgery can be used to remove infected apical areas of roots that otherwise would not be accessible to properly clean. Damaged root surfaces or the surrounding bone may also be treated with this procedure. The most common surgery used to save damaged teeth is an apicoectomy or root-end resection.

What is an apicoectomy?

The video above illustrates this procedure. An incision is made in the gum tissue to expose the infected root end, and the surrounding bone & inflamed tissue. The damaged tissue is removed along with the end of the root tip. A root-end filling can also be used to prevent reinfection of the root, then lastly the gum is sutured back into place. The bone naturally heals around the root over a period of months restoring full function.


1. Infected Tissue

2. Tissue Removed

3. Suture Placed

4. Healing Complete

What should I expect after an apicoectomy?

Following the procedure, there may be some discomfort or slight swelling while the incision heals. This is normal for any surgical procedure. To alleviate any discomfort, an appropriate pain medication will be recommended. If you have pain that does not respond to medication, please call our office.