Explaining the surgical procedure known as apicoectomy, when it’s necessary, and how it can preserve a tooth that’s not responding to standard root canal treatments.
Apicoectomy: When Surgery Is the Best Option to Save Your Tooth
Sometimes, even after a root canal treatment or retreatment, the infection or inflammation inside your tooth may persist. In such cases, an apicoectomy—a type of endodontic surgery—can often save the tooth. As a specialist endodontist at Nuffield Dental, I perform apicoectomies to help patients preserve their natural teeth when conventional treatments aren’t enough.
What Is an Apicoectomy?
An apicoectomy, also known as root-end surgery, involves removing the tip of the tooth’s root (the apex) along with any infected tissue. This surgical procedure is usually performed when the root canal cannot be fully cleaned and sealed through standard root canal treatment or retreatment.
After removing the infected tissue and root tip, the area is carefully cleaned, and the end of the root canal is sealed with a small filling to prevent future infection.
When Is an Apicoectomy Necessary?
An apicoectomy is typically recommended in cases where:
- Persistent Infection: Despite previous root canal treatment, an infection or cyst at the root persists, causing ongoing symptoms.
- Complex Root Structure: Some teeth have unusual root structures that make it difficult to clean or seal the root canal entirely, leading to persistent issues.
- Previous Root Canal Failure: If a tooth has already undergone root canal retreatment but remains problematic, an apicoectomy may be the only way to eliminate the infection without extracting the tooth.
What to Expect During the Procedure
An apicoectomy is a minor surgical procedure performed under local anaesthesia, IV sedation, or general anaesthesia depending on patient comfort. Dr. Sim will make a small incision in the gum near the affected tooth to access the root tip. The infected area will be removed, and the root canal is sealed from the bottom to prevent reinfection. The gum is then stitched back in place.
Benefits of an Apicoectomy
The primary benefit of an apicoectomy is that it allows you to keep your natural tooth rather than resorting to extraction. Preserving your natural teeth is always the preferred option, as it avoids the need for more extensive procedures like implants or bridges. If you’ve had a root canal and are still experiencing symptoms, an apicoectomy could be the solution to save your tooth. Schedule a consultation with Dr. Irene Sim at Nuffield Dental to discuss your treatment options.
