Apicoectomy: A procedure that saves your tooth

Apicoectomy, or tooth root tip resection, is a precise oral-surgical intervention that is applied to keep the tooth in the jaw. This procedure is crucial when endodontic treatment cannot solve the problem and when it is necessary to act directly on the tip of the tooth root to eliminate infection and prevent further problems.

When is an apicoectomy necessary?

An apicoectomy is usually recommended when the image shows a periapical process or focus around the tip of the tooth root. The tooth may appear to be in good condition, but the patient may feel pain when biting, tapping the teeth, or other symptoms, indicating the need for additional treatment. Also, if the tooth has already been endodontically treated (root treatment) and the problem persists, an apicoectomy may be the final solution.

How is an apicoectomy performed?

An apicoectomy involves opening the gums to access the tip of the tooth root. The surgeon then cuts the top of the root and removes the diseased tissue. The procedure is minimally invasive, and the main advantage of this intervention is the preservation of the teeth in the jaw, which is essential for preserving the functionality of your bite.

Is apicoectomy painful?

Thanks to local anesthesia, the whole procedure is painless, and the recovery period is usually quick. After the intervention, there may be minimal swelling, but the pain subsides quickly. Proper postoperative care and the use of antibiotics ensure that the healing process proceeds without complications.

Advantages of apicoectomy

• Tooth rescue : Instead of tooth extraction, apicoectomy allows the tooth to be preserved, which is beneficial in the long run to preserve your natural jaw structure.
• Effective treatment of infections : With the help of apicoectomy, the source of infection is removed at the root of the tooth.
• Minimal invasiveness : This surgical intervention is minimally invasive, with rapid rehabilitation.

When is additional therapy needed?

Although apicoectomy usually solves the problem of infections at the tip of the root, in some cases additional treatment or the placement of a new filling or prosthetic replacement may be necessary to keep the tooth in optimal condition.

Frequently Asked Questions About Apicoectomy

What is an apicoectomy?
Apicoectomy is an oral-surgical procedure that removes the tip of the tooth root along with the infection, in order to preserve the tooth and avoid extraction.

When is an apicoectomy necessary?
It is recommended when the treatment of the canal does not give results and when there is an infection or granuloma at the top of the tooth root.

Does an apicoectomy hurt?
No. The procedure is performed under local anesthesia, so that during the procedure you do not feel pain, but possibly slight pressure.

How long does an apicoectomy take?
The procedure usually takes 20 to 45 minutes, depending on the complexity and position of the tooth.

How long does it take to recover after an apicoectomy?
Mild swelling and discomfort may last for a few days, while full recovery is expected within 7 to 10 days.

Is apicoectomy a better option than tooth extraction?
In most cases, yes, because it allows the preservation of the natural tooth, which is the best solution for function and aesthetics.

What are the possible complications after apicoectomy?
Complications are rare but may include swelling, mild pain, or infection. With proper treatment and care, they are successfully resolved.

Do you need special care after the procedure?
Yes. It is recommended to avoid physical exertion, consume soft foods and follow the instructions of the dentist.

What is the success rate of apicoectomy?
The success rate of the procedure is high, especially when done in a timely manner and with adequate diagnostics.

How much does an apicoectomy cost?
The price depends on the complexity of the procedure and the tooth being treated. An accurate estimate can be obtained after the examination.