Apicoectomy (Root-end Resection)
An Apicoectomy, or root-end resection, is a minor surgical procedure used to treat a tooth infection that persists after root canal therapy. When inflammation or infection remains at the tip of the tooth root—despite a prior root canal—an apicoectomy is often the most effective method to save the tooth and prevent the need for extraction.
Apicoectomies are performed with precision using microsurgical techniques and advanced imaging to ensure successful outcomes with minimal discomfort.
Apicoectomy is typically recommended when retreating the root canal is not practical or has already failed. It allows patients to preserve their natural tooth while eliminating chronic infection and discomfort. With proper care and follow-up, most patients enjoy long-lasting relief and restored oral health.
– Digital X-rays and/or 3D CBCT imaging to evaluate the root tip and surrounding bone
– Identification of persistent infection or cysts at the apex of the root
– A small incision is made in the gum tissue near the affected tooth
– The underlying bone is exposed to access the root tip
– The infected or damaged tip of the root is carefully removed
– Any inflamed or infected surrounding tissue is also cleaned out
– A biocompatible filling is placed at the end of the root to seal the canal
– This prevents further bacterial leakage and promotes long-term stability
– The surgical site is sutured and allowed to heal over a period of weeks
– Follow-up ensures bone regeneration and resolution of the infection
