Apicoectomies

Everything You Need to Know

Apicoectomy is a microsurgical procedure performed to remove the tip of a tooth’s root and the infected tissue around it. It is usually recommended when conventional endodontic treatment (root canal therapy) has not fully succeeded in treating the infection or inflammation.

When is an Apicoectomy Necessary?

An apicoectomy is necessary in cases where:
  • There is chronic inflammation or infection at the root of the tooth that cannot be treated with endodontic therapy.
  • The tooth has anatomical peculiarities that complicate endodontic treatment.
  • Repeated infection has occurred after endodontic treatment.
  • There is a root perforation or a broken root that cannot be restored by other methods.

How is an Apicoectomy Performed?

The apicoectomy procedure includes the following steps:
  1. Local Anesthesia: The dentist administers local anesthesia to ensure no pain is felt during the procedure.
  2. Accessing the Area: A small incision is made in the gum tissue to expose the root area. We use advanced equipment and laser technology to maximize precision and minimize discomfort.
  3. Removing the Root Tip: The root tip and infected tissue are carefully removed with the help of a laser, ensuring sterilization and reducing bleeding.
  4. Cleaning and Retrograde Filling: The area is thoroughly cleaned and the root is sealed retrogradely to prevent further infection. This method ensures the best possible seal and protection for the tooth.
  5. Sutures: The incision is closed with sutures and the area is left to heal.

Benefits of Apicoectomy

Apicoectomy (when needed) offers many benefits, such as:
  • Saving the Tooth: In many cases, an apicoectomy can save a tooth that would otherwise need to be extracted.
  • Pain Relief: Removing inflammation and infected tissue alleviates pain and discomfort.
  • Long-Term Solution: Proper execution of the procedure ensures the long-term health of the tooth.

An apicoectomy is an effective treatment for saving teeth with severe root problems.