An apicectomy, also known as root-end resection or root-end surgery, is a surgical dental procedure performed to treat persistent infections or issues in the root tip (apex) of a tooth.

Apicectomy is considered when there is persistent inflammation or infection in the area around the tip of a tooth’s root (apex), usually following a failed root canal treatment. It may also be performed if retreatment of a root canal is not a viable option

Indications:

The apicectomy procedure is typically considered when a tooth that has undergone a root canal treatment continues to exhibit infection or inflammation in the area surrounding the apex (tip) of the tooth’s root. This may be due to persistent infection in the bony area around the root or the presence of cysts or other abnormalities.

Diagnostic Imaging:

Before the procedure, the dentist will often use X-rays or other imaging techniques to assess the extent of the issue and determine the precise location of the problem at the root tip.

Apicectomy Procedure:

• Local Anaesthesia: The procedure is usually performed under local anaesthesia to ensure the patient’s comfort during the surgery.
• Access: The dentist or oral surgeon begins by creating a small incision in the gum tissue near the affected tooth to access the root.
• Exposure of the Root Tip: The surrounding bone is then carefully removed to expose the root tip and the infected tissue.
• Removing the Infected Tissue: The dentist removes the infected or inflamed tissue at the tip of the tooth’s root, as well as any additional damaged or diseased tissue within the surrounding bone.
• Sealing the Root End: Once the cleaning and reshaping are complete, a biocompatible material (usually a dental filling material) is used to seal the root end and prevent any potential for future infection.
• Suturing: The gum tissue is then sutured (stitched) back into its normal position to promote healing.

Aftercare of an Apicectomy:

Patients are given post-operative instructions, which may include recommendations for pain management, avoiding certain foods, and maintaining good oral hygiene. Follow-up appointments are scheduled so we can help monitor the healing process.

Apicectomy has a high success rate, but as with any dental procedure, there can be no absolute guarantees. Success depends on factors such as the location of the tooth, the nature of the infection, and the patient’s overall oral health.

Before performing an apicectomy, dentists usually explore other treatment options, such as a re root canal treatment or extraction of the tooth. The choice of treatment depends on various factors, including the severity of the infection, the tooth’s location, and the patient’s overall dental health.

It’s important for individuals undergoing dental procedures to discuss their concerns and treatment options with one of our dentists or oral surgeons. The team at The Kensington Dentist can provide detailed information about the specific situation and recommend the most suitable course of action based on the patient’s individual needs. For more information or to arrange an initial consultation, get in touch with us today.