Apicoectomy
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Advanced Root-End Surgery to Save an Infected Tooth
An apicoectomy is a minor surgical procedure performed to treat persistent infection at the tip of a tooth’s root when traditional root canal treatment has not fully resolved the problem. At Richmond Heights Dental Arts, apicoectomy procedures are performed with precision, modern technology, and a strong focus on patient comfort.
This procedure allows us to preserve your natural tooth while eliminating infection and preventing further complications.
What Is an Apicoectomy?
An apicoectomy, also called root-end surgery, involves removing the tip of a tooth’s root (the apex) along with infected tissue surrounding it. The root end is then sealed to prevent future infection.
This treatment is typically recommended when:
- A previous root canal has failed
- Infection persists near the root tip
- Retreatment with a standard root canal is not possible
An apicoectomy is often the last step before considering tooth extraction.
Why an Apicoectomy May Be Needed
Even after a successful root canal, infection can remain due to:
- Hidden root canals
- Complex root anatomy
- Cracks or fractures near the root tip
- Persistent bacteria in surrounding bone
An apicoectomy directly targets the infected area to promote healing and save the tooth.
Signs You May Need an Apicoectomy
- Ongoing pain or sensitivity after a root canal
- Swelling or tenderness in the gums
- Recurring abscess near the tooth
- Discomfort when biting or chewing
- Infection visible on dental X-rays
Early evaluation helps prevent further bone damage.
How an Apicoectomy Is Performed
1. Evaluation & Imaging
Digital X-rays or 3D imaging are used to locate the infection.
2. Local Anesthesia
The treatment area is carefully numbed so you remain comfortable during the procedure.
3. Accessing the Root Tip
A tiny cut is created in the gum close to the affected tooth.
4. Removal of Infection
The root tip and infected tissue are carefully removed.
5. Root-End Sealing
The end of the root is sealed to prevent reinfection.
6. Stitching & Healing
The gum tissue is sutured to allow proper healing.
The procedure typically takes 30 to 90 minutes, depending on complexity.
Is an Apicoectomy Painful?
Patients do not feel pain during the procedure due to anesthesia. Mild soreness or swelling afterward is normal and usually resolves within a few days.
Discomfort is typically managed with:
- Over-the-counter pain medication
- Ice packs
- Rest
Recovery After an Apicoectomy
Recovery generally takes between a few days and about a week.To promote proper recovery:
- Avoid chewing on the treated side
- Eat soft foods
- Avoid smoking
- Follow all post-operative instructions
Stitches are usually removed or dissolve within a short period.
Benefits of an Apicoectomy
- Saves the natural tooth
- Eliminates persistent infection
- Prevents tooth extraction
- Protects surrounding bone
- Long-term success with proper care
Preserving your natural tooth is always preferable when possible.
Apicoectomy vs Tooth Extraction
Apicoectomy | Tooth Extraction |
Saves the natural tooth | Tooth is removed |
Maintains bite alignment | Replacement needed |
Preserves jawbone | Bone loss may occur |
Less invasive long-term | May require implants or bridges |
Whenever feasible, an apicoectomy is a more conservative option.
Success Rate of Apicoectomy
Apicoectomy procedures have a high success rate, especially when performed with modern imaging and techniques. Long-term success depends on:
- Proper oral hygiene
- Regular dental visits
- Addressing underlying causes
Why Choose Richmond Heights Dental Arts?
- Experienced surgical care
- Advanced imaging technology
- Gentle, patient-centered approach
- Clear communication and aftercare guidance
- Comfortable and supportive environment
Your comfort and well-being remain our highest priorities.
Schedule an Apicoectomy Consultation Today
If you have persistent tooth pain or infection after a root canal, an apicoectomy may help save your tooth. Contact Richmond Heights Dental Arts today to schedule a consultation and learn about your treatment options.
Contact Us
We’re here to help with any questions you may have. Simply call our office or send us a message using the contact form below.
Frequently Asked Questions (FAQs)
No. It is considered a minor oral surgical procedure and is usually completed in one visit.
Most apicoectomies are performed with local anesthesia. Sedation options may be discussed if needed.
Initial healing usually occurs within 7–10 days, with full bone healing taking longer.
Many patients return to normal activities within 1–2 days, depending on comfort.
Untreated infection can worsen, leading to bone loss or the need for tooth extraction.
In some cases, yes. Your dentist will determine the best option based on tooth structure and infection location.