An apicoectomy is often referred to as root-end resection. The apicoectomy is a minor dental procedure that is performed on adults and children alike to remove the tip of a tooth root (the apex) while leaving the top of the tooth in place. An apicoectomy is needed when inflammation and infection invade the root of the tooth and proceed to damage the tip, requiring removal to prevent the infection from moving deeper into the jaw.

An apicoectomy is typically performed after a root canal has been performed. The root canal removes infected and damaged pulp and nerves inside the root. After the inside of the root is cleaned out, it is sealed, and a crown is placed above the gum line. If the root canal does not heal correctly due to the extent of the infection, an apicoectomy would be the next step to more of the damaged tissue in an attempt to avoid pulling the tooth entirely.

A failed root canal is not the only reason to receive an apicoectomy. This can also be used to remove calcium deposits in the root canal or to treat a tooth fracture. Apicoectomies are commonly used for children with fractured teeth, thus saving the tooth from the need for extraction.

A hole in a tooth root can also be removed by removing the apex of the tooth.

Dr. Babiuk is an expert in oral infection and injuries.

What is apicoectomy?

Apicoectomy is a type of endodontic surgery that involves removing the tip of the tooth’s root after root canal treatment. Sometimes, infected tissue can still cause an abscess at the root of the tooth even after a root canal is sealed. If this occurs, Dr. Babiuk can perform an apicoectomy in order to save your tooth from extraction.

How do I know if I need an apicoectomy?

If you previously had a root canal treatment and are now experiencing pain or swelling in the area above the tooth, call our office for an appointment. The infection may manifest itself in the form of a pimple near the tooth. If you notice a pimple or a bad taste or odor in your mouth, your tooth may have become infected again following the root canal treatment.

How does the procedure work?

The apicoectomy procedure involves lifting the gum tissue above the root to uncover the underlying bone and root end of the tooth. Dr. Babiuk will then remove the end of the tooth root along with all the surrounding infected tissue. A root-end filling is used to seal the root canal and sutures are used to hold the gum tissue down for healing. The duration of the procedure depends on the type and placement of tooth requiring the apicoectomy, but a normal duration period may be from 30 to 90 minutes.

How long is the recovery period?

While an apicoectomy is considered a surgical procedure, discomfort is usually minimal. Dr. Babiuk will remove stitches 2 to 7 days after the procedure, and swelling and soreness usually diminish after two weeks. To aid in a quick recovery time, try not to irritate the affected area by eating crunchy foods, brushing too hard, or smoking. Relax and avoid contact sports as well while your mouth is healing. Finally, in order to ensure that your tooth remains healthy, maintain good oral hygiene with daily brushing and flossing, and regular dental check-ups.