An apicoectomy is surgery used in selected cases to address a problem around the end of a tooth root. The clinician reaches the area through the gum and bone, removes a small part of the root tip and affected tissue, and usually seals the end of the canal with a suitable filling.
When might it be considered?
It can be an option when a problem persists after root canal treatment. The cause needs to be assessed first, including whether the canals can be treated again through the crown. A change visible on a radiograph does not automatically mean surgery is necessary.
What affects the outlook?
The tooth’s condition, the seal of its restoration, possible cracks, bone support and nearby structures all matter. Surgery cannot correct every reason for a previous treatment problem. Another treatment or removal of the tooth may sometimes be more appropriate.
What to discuss beforehand
Ask about the purpose, alternatives, risks, anaesthesia and expected recovery. Provide information about medicines and general health conditions. Do not change prescribed medication on your own before the appointment.
Afterwards, follow the wound care instructions and attend the agreed reviews. Pain settling is not the only measure of healing, because tissue repair takes time. Your dentist will explain when to assess progress and whether further imaging is needed.