Apicoectomy

Why would I need endodontic surgery?

Most of the time, a root canal treatment is sufficient to save teeth with damaged pulp from needing extraction. However, sometimes this non-surgical approach won’t completely heal the tooth, and Dr. Kan will suggest surgery. Endodontic surgery helps us find small fractures or concealed canals that don’t show up on x-rays but continue to cause tooth discomfort. This procedure can also address damaged root surfaces or affected surrounding bone tissue. The most frequently performed surgery to preserve compromised teeth is an apicoectomy or root-end resection.

What is an apicoectomy?

The video below shows this straightforward procedure. We make a small incision in the gum tissue to access the bone and any inflamed tissue around it. The damaged tissue is removed along with a small portion of the root tip. We then place a root-end filling to prevent the root from becoming reinfected, and the gum is stitched closed. Over several months, the bone naturally heals around the root, restoring complete function.

What should I expect after an apicoectomy?

After the procedure, you may experience some discomfort or minor swelling as the incision heals. This is typical for surgical procedures. We’ll recommend appropriate pain medication to manage any discomfort. If your pain doesn’t improve with medication, please contact our office.