When Is an Apicoectomy Needed?

• Persistent infection after root canal treatment
• Root canal retreatment is not possible due to a post, crown, or complex anatomy
• Calcified canals that cannot be fully cleaned
• Fractured root tip that cannot be reached through the crown
• Cyst or lesion at the root tip that has not healed
• Diagnostic purposes — to evaluate a root that cannot be assessed otherwise

The Apicoectomy Procedure

The procedure is performed under local anesthesia. A small incision is made in the gum tissue near the affected tooth. The infected tissue and the tip of the root are removed. The root end is sealed with a small filling. The gum tissue is sutured closed. The procedure typically takes 30-90 minutes depending on the tooth and complexity.

Recovery

Most patients experience mild to moderate discomfort for 2-3 days after the procedure. Swelling and bruising are normal. Over-the-counter pain relievers are usually sufficient. Avoid hard, crunchy foods for several days. Full healing of the bone takes several months, though most patients return to normal activities within a day or two.

Success Rate

Apicoectomy has a high success rate — approximately 85-95% when performed by an experienced clinician. The procedure can extend the life of a tooth for many years.