If you have ever needed root canal therapy, you may know that an Endodontist is a dentist who
specializes in treatment of the tooth root. However, there are some cases where traditional
root canal therapy will not be possible or will not yield the best solution for your infection. In
these cases, your dentist may refer you to our office for an apicoectomy. Here’s what you need
What it is
An apicoectomy is a minor treatment that involves removing the infected tip of a tooth root,
then sealing the interior of the tooth to prevent further infection.
Why It Is Done
In most cases, when pulp in the root of a tooth becomes infected, root canal therapy is
performed. This removes the infection and prevents it from spreading further. In traditional
root canal therapy, the full pulp is removed from the tooth, along with any infected tissue.
When this is not possible or previous root canal therapy has failed, an apicoectomy is
An apicoectomy is generally performed by a certified Endodontist, like our doctor. You will
receive local anesthetic to ensure your comfort throughout your treatment. We will make a
small incision in the gum tissue. The inflamed root tip is then removed and sealed to prevent
the infection from spreading. You should expect this treatment to take 30 to 90 minutes. In
most cases, an apicoectomy on a front tooth takes less time than one on a lower molar.
What to expect afterwards
Like any oral surgery, some discomfort can occur for the first few days following the procedure.
When brushing your teeth, you will want to be gentle around the area. Any further discomfort
can usually be mitigated with over-the-counter medications such as ibuprofen. We may
prescribe medicine, if needed, to alleviate any discomfort that cannot be managed by over-the counter medications. Please use medications only as directed by our doctor.
Unlike traditional root canal therapy, you may not need to have a dental crown placed
following an apicoectomy.
Acting on root issues as soon as they are detected is your best defense against infection and
tooth loss. For more tips on keeping teeth healthy or for questions about apicoectomies,
contact our office.