Apicoectomies Save Teeth
What is an apicoectomy?
An apicoectomy, also called a “root-end resection”, is a minor surgical procedure used in endodontics to remove the tip (apex) of a tooth’s root, along with any infected or inflamed tissue surrounding it. It’s typically necessary when a tooth that’s already had a root canal continues to have infection or pain at the root tip. Unlike a root canal, which approaches infection through the crown of the tooth, an apicoectomy reaches it surgically through the gum and bone near the root tip.
What can I expect during an apicoectomy?
This painless surgery typically takes about an hour. After the endodontist numbs the area, a small incision is made in the gum near the affected tooth. Then the root is accessed through the bone and the last few millimeters of the root tip is removed along with any infected tissue. The open end of the remaining root is cleaned and sealed with a small filling to prevent future bacteria entry. Then the gum is stitched closed to heal. Healing involves some swelling and mild discomfort for a few days, with full bone healing taking several months. (Click here if you want to see the instructions you will receive following surgery.)
