Apicoectomy
Microsurgical Root-End Surgery to Save Teeth.
Learn about apicoectomy (root-end surgery) by our microsurgical endodontist in Tampa. We remove infected root tips to heal persistent infections and save your tooth. See how this gentle surgical procedure can end recurring tooth pain.
Remove Infection with a Specialist
What is an Apicoectomy?
An apicoectomy (also known as root-end surgery) is a minor surgical procedure performed by an endodontist to remove the tip of a tooth’s root and the surrounding infected tissue. It’s typically recommended when a standard root canal alone cannot fully heal an infection, or if an infection returns at the root tip after a root canal. Essentially, an apicoectomy targets a stubborn infection at the root tip from the outside (through the bone) rather than from inside the tooth. It’s an effective way to save a tooth that might otherwise need extraction due to persistent inflammation or cyst.
Why Would You Need an Apicoectomy?
We consider an apicoectomy when a tooth that has had a root canal (or retreatment) continues to have problems, and we suspect the issue is confined to the very end of the root. Some reasons for an apicoectomy include:
Persistent Infection or Cyst: After a root canal, most infections clear up. But if an infection persists or a cyst has formed at the root tip, it might not heal on its own. You might have a small, chronic abscess that never fully goes away, visible on an X-ray. Removing the root tip and infected tissue can resolve this for good.
Complex Root Anatomy: If the root has unusual anatomy, like a tiny branch or nook at the tip that couldn’t be sealed completely from inside. Infection can linger there, and an apicoectomy lets us clean the area directly.
Blocked Canal or Obstruction: In some cases, a canal might be blocked (by a calcification or a broken file instrument), making it impossible to reach the end of the root through a conventional retreatment. Instead, we approach from the root end via surgery.
Small Fracture or Perforation: If there’s a minor crack near the root tip or a perforation, we might address it surgically by removing the damaged apex and sealing it, rather than redoing the entire root canal.
Biopsy: On occasion, a biopsy of tissue at the root end is needed for diagnosis, and an apicoectomy allows for that sample to be taken while also treating the issue.
What to Expect after an Apicoectomy
The procedure typically takes about 30 to 60 minutes, depending on the tooth and complexity. Afterwards, it’s entirely normal to have some swelling and minor discomfort for a few days. Some remedies include:
Antibiotics and over the counter medication
Eating soft foods and avoid chewing on affected side
Antimicrobial rinse and avoid brushing
Our office will give you clear, detailed post-op care instructions.
For many patients, an apicoectomy is the last step needed to finally be rid of a persistent infection. Once healed, the tooth can continue to function normally for many years, often for life. This procedure allows you to keep a tooth that otherwise might have no other option but extraction. And avoiding extraction means you keep your natural chewing function and avoid replacing the tooth.
Learn more about Apicoectomies:
Trust Your Smile to a Microsurgical Endodontist
If you’ve been referred for an apicoectomy or you suspect something is still wrong with a previously treated tooth, we’re here to help. Schedule a consultation, and we’ll evaluate whether root-end surgery is reccomended. Dr. Hamad has advanced training in endodontic microsurgery from residency and has performed numerous apicoectomies successfully over his career. Our Tampa practice is among the few that offer this specialized service, and local dentists trust us to handle their patients’ endodontic surgical needs with excellent outcomes.
We’ll walk you through the procedure, answer all questions, and ensure your absolute comfort and confidence moving forward. Remember, our priority is to save your natural tooth whenever possible. An apicoectomy is one more tool in our arsenal to do just that. With gentle care, advanced technology, and a caring team, we’ll help you put that lingering tooth issue behind you and preserve your natural, healthy smile.
(Want more tips and info on Apicoectomies? visit our Blog for procdure information and helpful advice on post operational care.)
