An apicoectomy, also known as root end surgery, might be necessary if an infection develops or continues after a conventional root canal procedure. If your endodontist recommends an apicoectomy, it means your tooth cannot be saved by conventional root canal treatment alone. Often, the only alternative to an apicoectomy is extraction or the removal of the affected tooth. The purpose of an apicoectomy is to preserve the function of your natural tooth.
WHAT HAPPENS IN AN APICOECTOMY?
First, Dr. Evelyn makes sure you are comfortable by thoroughly anesthetizing the area. Then an incision is made in the soft tissue near the tooth to expose the affected area. The tip of the root, also called the apex, is removed along with any inflamed or infected tissues. Lastly, the end of the root is sealed with a small filling and a few stitches are placed. Over the next few weeks and months Dr. Evelyn will monitor the area for healing.