Apicoectomy (Root-End Surgery)

What Is an Apicoectomy?

An apicoectomy, also known as root-end surgery, is a minor surgical procedure used to save a tooth when a previous root canal treatment has not eliminated an infection completely. Instead of removing the tooth, the infected tip of the root is removed and sealed to prevent future infection, helping preserve your natural smile.

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When Is an Apicoectomy Needed?

An apicoectomy may be recommended if an infection or inflammation persists after a root canal or if retreatment is not the best option. This procedure can effectively treat the problem while avoiding tooth extraction.

What to Expect During the Procedure

An apicoectomy is typically performed under local anesthesia to ensure your comfort and usually takes 30 to 90 minutes.

Recovery and Aftercare

Most patients experience only mild discomfort and swelling for the first 24 to 48 hours, which can usually be managed with over-the-counter pain medication and cold compresses. Swelling typically subsides within a few days, and most patients return to their normal routine within a week. Sutures are generally removed during a follow-up visit.

Following your post-operative instructions, including maintaining good oral hygiene and avoiding strenuous activity for the first few days, will help ensure a smooth recovery.

A Reliable Way to Save Your Natural Tooth

With today's advanced microsurgical techniques, apicoectomy has a high success rate of approximately 90%, making it a predictable and effective solution for preserving teeth that might otherwise require extraction.