Apicoectomy (Root End Surgery)

Occasionally, a nonsurgical root canal procedure alone cannot save your tooth and your endodontist will recommend surgery. Endodontic surgery can be used to locate small fractures or hidden canals that weren’t detected on x-rays or during previous treatment. Surgery may also be needed to remove calcium deposits in root canals, or to treat damaged root surfaces or the surrounding bone of the tooth. Endodontists use advanced technologies like digital imaging and operating microscopes to perform surgeries quickly, comfortably and successfully.

What is an apicoectomy?

In this procedure, the endodontist opens the gum tissue near the tooth to examine the underlying bone and to remove any inflamed or infected tissue. The very end of the root is also removed.

A small filling may be placed at the root tip to seal the end of the root canal, and a few stitches or sutures are placed in the gingiva to help the tissue heal properly.