What does “Apicoectomy” mean?
An apicoectomy is endodontic surgery performed through an opening in the gum to remove inflamed tissue and part of the tooth root tip. If needed, a root-end filling is also placed to seal the canal.
When might it be considered?
It may be considered when inflammation around the root tip persists after root canal treatment or when the cause is difficult to address solely through access from the top of the tooth. The option of endodontic retreatment is also compared.
How is the surgery performed?
After local anesthesia, the gum is opened to access the lesion and remove the necessary tissue and root tip. The canal end is sealed and the wound sutured, followed by monitoring of tissue and bone healing.
Can the remaining tooth continue to be used?
The aim is to retain the tooth, but the outlook varies with the remaining root, supporting tissues, cracks, and infection. The final restoration and care after surgery are also considered.
Frequently Asked Questions
Does the surgery remove the entire root?
It differs from extraction. The surgery accesses the necessary part of the root tip in an attempt to preserve the tooth.
Can the existing crown be kept after surgery?
The seal and condition of the existing prosthesis are assessed separately. Surgery alone does not determine every decision about crown replacement.
Questions about apicoectomy
Learn what the term means and how it relates to your dental condition.
- Sufficient understanding
Why choose surgery rather than endodontic retreatment?
Explanation and evidenceThe extent of access through the canals and the cause of the lesion are considered together.
American Association of Endodontists · Endodontic Surgery - A choice suited to your condition
When and how will healing be checked?
Explanation and evidenceAsk for separate explanations of the wound check and the later imaging and clinical examination plan.
American Association of Endodontists · Endodontic Retreatment
