Apicoectomy

In most cases, a root canal is sufficient to save a tooth with damaged pulp and prevent extraction. However, if this non-surgical approach doesn't fully address the issue, your endodontist may recommend surgery. Endodontic surgery can help identify fractures or hidden canals not visible on x-rays but still causing pain. It can also treat damaged root surfaces or surrounding bone. The most common surgical procedure for this purpose is an apicoectomy, or root-end resection.

During an apicoectomy, an incision is made in the gum tissue to access the bone and remove any inflamed tissue. The damaged tissue and the tip of the root are excised, and a root-end filling is placed to prevent reinfection. The gum is then sutured.

After the procedure, some discomfort or slight swelling may occur as the incision heals, which is typical for any surgery. Pain medication will be prescribed to manage discomfort. If you experience pain that doesn’t respond to medication, please contact our office.