Endodontic care · Hinckley
Endodontic microsurgery and apicectomy
When a problem persists around the tip of a tooth root, a surgical approach may sometimes be considered instead of accessing the canals through the crown.
What is an apicectomy?
An apicectomy is a procedure that treats the area at the very end of a root. The dentist or appropriately trained clinician accesses the root tip through the gum, removes affected tissue and a small part of the root, then prepares and seals its end.
Modern techniques may use a microscope and fine instruments to help make the procedure more controlled.
When could surgery be appropriate?
Surgery may be an option when an existing root filling is otherwise satisfactory but a localised infection persists, or where removing a post or restoration to undertake retreatment would be especially difficult. It is not suitable for every tooth.
How is the decision made?
The remaining tooth structure, quality of the restoration, anatomy and periodontal health all matter. Clinical examination and imaging are used to consider whether retreatment, surgery or another option is likely to be more appropriate.
Healing and follow-up
Some temporary discomfort, bruising or swelling can occur after surgery. Your treating clinician should explain wound care, pain relief, when stitches may need attention and how healing will be reviewed over time. Seek prompt advice if symptoms worsen unexpectedly.