An ‘Apicectomy’ procedure, or ‘root end treatment’ as it is sometimes known, is a surgical procedure where we remove the tip of a tooth’s root. The surgical site is anaesthetised using local anaesthetic. 

Apicectomy is often the last resort prior to tooth extraction, when root canal treatment is considered unsuccessful.

What Happens During an Apicectomy?

The dentist will make a small incision on the gum above the tooth in question and create a flap which is then lifted away from the tooth, exposing the bone surrounding the teeth. The dentist will then remove the infected tissue and some of the bone in the area, and then proceed to fill the cavity with a retrograde filling material such as Amalgam or Zinc Oxide cement.

We also use high quality bone grafting materials to seal the area with the aim of preventing further infection. Finally the gum is sutured back into position using high quality sutures to aid successful healing.

Removal of the entire tip of the root ensures that no area of infection at the tip of the root remains. 

In general, we always plan the procedure carefully and only use the best materials which point to a success rate of more than 90%. The recovery time is usually quick and without complications. Your dentist will discuss aftercare with you if this treatment is recommended for you. Stitches may need to be removed a week or so after the procedure.