Endodontic Microsurgery (Apicectomy)

In certain cases, a persistent infection may not respond effectively to root canal therapy. In such situations, endodontic surgery, commonly referred to as apical surgery or apicectomy, is a more suitable option. This procedure involves the removal of approximately 3mm of the root tip, along with any infected tissue, followed by the placement of a root seal to prevent further infection.

In some cases, the presence of complex restorations (eg crowns, posts etc) may limit or prevent access to the root canal space to complete root canal retreatment. Endodontic microsurgery offers a solution to remove an infected root tip without having to access the root fillings through the crown of a tooth.

Procedure

Your Endodontist will discuss the suitability of endodontic microsurgery with you.

A small flap of gum tissue is lifted to expose the underlying bone and tooth root. The infected and inflamed tissue is removed ,around 3mm of the tip of the root is then removed, and a root end filling is placed to prevent reinfection. Small stitches are then placed to hold you gum tissue in place to allow for healing. Microsurgical techniques ensures small incisions, minimal tissue removal, and minimal to no scarring.

After Your Procedure

Being a surgical procedure, endodontic microsurgery carries a longer recovery period than root canal therapy or root canal retreatment. Your Endodontist will discuss pain relief medications with you to ensure prompt recovery with minimal discomfort. It is often advised to have 1-2 days off work post surgery.