In some cases, a tooth that has had root canal treatment, which did not sufficiently heal or has become re-infected, is not a good candidate for endodontic retreatment. For these teeth, a minor surgical procedure that treats the infection from the root-end of the tooth, that is known as an apicoectomy, may be indicated. An apicoectomy is an excellent revision procedure to preserve a previously treated tooth, eliminate a dental infection, and restore the health of the surrounding tissues.
An apicoectomy is performed under local anesthesia. It is typically a straightforward procedure during which an incision is made in the gum tissue at the involved tooth. This is to expose the inflamed or infected tissue surrounding the root tip of the tooth. Once uncovered, the damaged tissue in the area is removed along with a few millimeters of the tooth’s root tip. A biocompatible filling material is then placed in the end of the remaining portion of the root to seal it and prevent reinfection. The gum tissue is put back into place and sutured to complete the procedure. Post-surgical discomfort is generally mild and you may have some swelling in the area. Most patients return to their normal activities very quickly.
