What is Apicectomy ?

What is Apicectomy ?

What is Apicectomy ?

An apicectomy is a treatment performed when the tip of the root of a tooth remains infected after a root canal treatment, in the rare cases the previous one does not work and can't be improved.


It is pain-free microsurgical procedure where the tip of the root is removed and the canal of the tooth is disinfected and sealed to prevent bacteria from entering the canal and causing infection.

Apicectomy vs Root Canal Treatment

Apicectomy vs Root Canal Treatment

Apicectomy vs Root Canal Treatment

The success of a root canal treatment can be tempered by the patient's own immunity. It is sometimes a matter of balance between the quality of the treatment and the body response to it.

An apicectomy is required when a regular root canal treatment is not sufficient to completely clear out an infection.

While the root canal treatment is used to clean out the inside of the tooth, an apicectomy may follow if infection persists to disinfect the external root surface of the tooth.

How Does It Work?

  • Initial Consultation
  • Before Treatment
  • The Procedure
Initial Consultation
Initial Consultation

Initial Consultation

Prior to the treatment, a consultation is scheduled with your endodontist or oral surgeon.

During the consultation you have the opportunity to ask as many questions as you wish and a scanner may be taken so the endodontist or surgeon can get a better look at your tooth and prepare the operation.

Before Treatment
Before Treatment

Before Treatment

Before treatment, the face is cleaned and the patient is usually put under a local anesthetic to numb the tooth and surrounding gums.

In some cases, an antibiotic treatment will have to be taken a couple of hours before the beginning of the procedure.

The Procedure
The Procedure

The Procedure

Firstly, the gum tissue surrounding the tip of the tooth is gently lifted up to gain access to the infected area.

Once the gum is raised, the infection is then cleaned out and the infected tip of the tooth is cut off.

The root canal treatment is examined and the root is filled again to ensure a perfect sealing.

Finally, the gum tissue is stitched back in place to allow for healing to occur.

The length of the procedure depends on the complexity of the tooth, but it generally takes between 30-90 minutes.

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