An apicoectomy is a minor surgical procedure that removes the root tip and surrounding infected tissue. It's often the last option before extraction — and it works.
An apicoectomy (also called root end resection or periradicular surgery) is an endodontic surgical procedure where the tip (apex) of a tooth's root is removed along with any infected tissue. A small filling is then placed to seal the root end.
It is typically recommended when:
The area is fully numbed. You will feel pressure but not pain.
A small incision is made in the gum to expose the bone and root tip.
A few millimeters of the root end is removed along with infected tissue.
The root end is sealed with a biocompatible filling and the gum is sutured closed.
The procedure is done under local anesthesia and is generally well-tolerated. Some swelling and tenderness for 2–3 days after is expected.
Studies report 85–95% success rates when performed by an experienced endodontist. Success is defined as healing of the bone and resolution of symptoms at a follow-up x-ray after 1 year.
Most patients return to work and normal activities the next day. We recommend a soft diet and limited physical activity for a few days. Sutures are removed after about a week.
Our board-certified specialists are accepting new patients. Book your consultation today.