Surgical Endodontics 

What is an Apicoectomy?

An apicoectomy is a surgical procedure performed in order to save a tooth from being extracted. Generally, apicoectomies are performed on teeth which have had endodontic therapy (root canal therapy). The root canal therapy may have failed due to recurrent infection at the tip of the tooth’s root. An apicoectomy involves making an incision in the gum tissue overlying the root of the tooth in order to gain access to the diseased tissue at the root tip. The diseased tissue and a small portion of the tooth’s root are then removed. Frequently, a filling material is then placed into the remaining root end to seal the root from further leakage and infection. The gum tissue is then sutured (stitched) and the area is allowed to heal.