Apicoectomy

An apicoectomy is a minor surgical procedure that treats infection at the very tip of a tooth’s root. Working through the gum, we remove the infected tissue and the tip of the root, then seal the end of the root to protect it. It’s designed to save a natural tooth when other treatments haven’t fully resolved the infection.

An apicoectomy may be recommended when infection remains at the root tip after a root canal, or when retreatment isn’t practical. For example, a tooth may have a crown or post that would be difficult to remove, or roots with complex or curved anatomy. In these cases, treating the root tip directly can be the most effective way to save the tooth.

We numb the area thoroughly before the procedure, so you should feel pressure but not pain. Afterward, some soreness and mild swelling are normal for a few days. These are usually managed with over-the-counter pain relievers and a cold compress, and we’ll give you detailed aftercare instructions.

Most patients return to their normal routine within a day or two. Some soreness and swelling can last a few days, and the area continues to heal over the following weeks. We’ll let you know what to expect for your specific case and whether a follow-up visit is needed.

Stitches are often used to help the gum heal after an apicoectomy. Depending on the type used, they may dissolve on their own or be removed at a short follow-up visit. We’ll explain exactly what to expect before you leave.

For many patients, yes. An apicoectomy can save a natural tooth that might otherwise need to be extracted, preserving your bite and avoiding the need for an implant or bridge. We’ll review your imaging and discuss whether it’s the right option for your tooth.