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Apicoectomy & Microsurgery
Precise root-end surgery may help preserve a tooth when inflammation or infection persists after root canal treatment.
Understanding treatment
What is apicoectomy & microsurgery?
An apicoectomy, also called root-end surgery, is a minor surgical procedure. The endodontist accesses the tissue near the root tip, removes inflamed or infected tissue and a small portion of the root end, then seals the end of the canal.
Clinical note — Treatment recommendations depend on examination and imaging; microsurgery is not the right option for every tooth.
When it may be recommended
- Infection or inflammation persists near the root tip after root canal treatment
- Conventional retreatment is not practical or is unlikely to reach the problem
- Complex anatomy, a blockage, or an existing restoration limits access through the tooth
- The tooth is otherwise considered appropriate to preserve
What to expect
Evaluation
The endodontist reviews symptoms and imaging to confirm the source of infection and plan the procedure.
Comfort plan
Local anesthetic is used for the procedure. Oral and IV sedation options may be discussed when appropriate.
Microsurgery
The root tip is accessed, inflamed or infected tissue and a small portion of the root end are removed, and the end of the canal is sealed.
Healing
You receive aftercare guidance, and the area heals over the following weeks as recovery is monitored.
Frequently asked questions
How long does the procedure take?
Timing depends on the tooth location and complexity. The practice will explain the expected visit length for your case.
Are sedation options available?
Our practice offers oral and IV sedation. Suitability and preparation requirements must be discussed before the appointment.
Need an evaluation?
Let’s plan your visit.
Your examination and imaging determine which treatment is appropriate for your tooth.
(281) 893-1060
