Apicectomy

Overview

An apicectomy is a minor surgical procedure performed to treat persistent infection or inflammation at the tip of a tooth’s root (the apex) when non-surgical root canal treatment has not resolved the issue.

The procedure aims to remove the affected tissue and seal the root tip to help preserve the natural tooth.

When an Apicectomy May Be Considered

An apicectomy may be recommended in cases such as:

• Ongoing infection following root canal treatment

• Inflammation around the root tip visible on imaging

• Anatomical factors preventing complete root canal cleaning

• Persistent symptoms despite previous dental treatment

The goal is to address the source of infection while maintaining tooth function.

The Apicectomy Procedure

The procedure typically involves:

• Accessing the root tip through the gum and surrounding bone

• Removing infected or inflamed tissue

• Resection of the root apex

• Sealing the root end to prevent further infection

Local anaesthetic is used, and the procedure is planned to minimise disruption to surrounding structures.

Recovery and Aftercare

Following an apicectomy, patients may experience:

• Mild swelling or discomfort

• Temporary sensitivity in the treated area

Post-operative instructions may include:

• Maintaining oral hygiene as advised

• Using prescribed or recommended medications

• Attending follow-up appointments for review

Recovery timelines vary depending on individual factors.

Referral and Ongoing Care

We work closely with referring dentists to provide assessment and surgical management where appropriate. Post-procedure communication ensures continuity of care and informed follow-up.

Frequently Asked Questions

Why would an apicectomy be recommended instead of re-treatment?
In some cases, anatomical or structural factors limit the effectiveness of further non-surgical treatment.

Will the tooth still function after the procedure?
The aim of an apicectomy is to preserve the natural tooth and maintain function.

Is the procedure done in one appointment?
Apicectomy procedures are usually completed in a single visit, with follow-up as required.

Will I need time off work?
Some patients choose to rest after the procedure, depending on comfort and job demands.

How long does healing take?
Initial healing occurs over days to weeks, with bone healing continuing over a longer period.