Apicoectomy
A minor surgical procedure that removes the root tip of a tooth to treat persistent infection after root canal therapy.
What is it
A minor surgical procedure in which the tip of a tooth's root is removed along with surrounding infected tissue when a standard root canal has not fully resolved an infection at the root apex.
How it works
A small incision is made in the gum near the affected tooth, the tip of the root is removed along with any infected tissue, and the end of the root canal is sealed before the gum is sutured closed.
How it helps
Saves a tooth that cannot be retreated through the crown alone by removing the source of infection at the root tip, preventing the need for extraction.
Frequently Asked Questions
Who might consider this treatment?
Patients who have had a root canal that has not fully resolved an infection at the root tip, and for whom retreatment through the crown is not a viable option.
What is the typical experience?
The procedure is performed under local anesthesia with sedation available if needed. Mild swelling and tenderness are expected for a few days as the site heals over the following weeks.
How long does it usually take?
The surgical procedure is completed in one appointment lasting about an hour. Full healing of the gum and bone takes several weeks, and a follow-up visit is scheduled to monitor the site.
Is there anything to keep in mind?
Avoid blowing your nose forcefully or sneezing with your mouth closed in the days following surgery. Swelling and mild bruising are normal and typically resolve within a week.
What should I know about recovery after?
Mild swelling and tenderness are expected for the first few days. Avoiding pressure changes like nose blowing helps protect the surgical site during healing.
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