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Apicoectomy (Endodontic Microsurgery)

 

An apicoectomy is a minor surgical procedure performed when infection persists around the tip of a tooth’s root after root canal treatment or retreatment. This procedure allows us to directly address the source of infection while preserving the natural tooth.

When an Apicoectomy Is Recommended

In some cases, complex root anatomy or previous treatment limitations make it difficult to fully resolve infection from inside the tooth alone. An apicoectomy may be recommended when:

  • Infection remains after root canal treatment or retreatment

  • Scar tissue or persistent inflammation is present at the root tip

  • Access to the root canal system from inside the tooth is not feasible

Advanced imaging helps us determine whether this approach offers the best chance for healing.

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What Happens During the Procedure

During an apicoectomy, a small incision is made in the gum near the affected tooth to access the root tip. The infected tissue is removed, and the end of the root is sealed to prevent reinfection. High-powered magnification and illumination allow for precise, conservative treatment. The procedure is typically completed in a single visit using local anesthesia.

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Healing and Prognosis

Most patients experience mild swelling or tenderness for a short time following surgery. Healing is usually predictable, and many teeth treated with apicoectomy go on to function comfortably for years.​​​

Apicoectomy offers a precise, minimally invasive way to resolve persistent infection while preserving your natural tooth whenever possible.

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