Root end surgery (apicoectomy)

A root end surgery is a surgical procedure in which the tip of a tooth is removed. The aim is to treat an infection in the tissue surrouding the root tip, allowing the tooth to be preserved.

Why root end surgery?

An infection around the tip of a tooth is usually caused by bacteria in the root canal. These bacteria spread to the tissue around the root tip, causing inflammation. If left untreated, this can lead to bone loss and eventually the loss of the tooth. 

Root end surgery may also be carried out if a root canal treatment can't be performed in the usual way.

How is the procedure carried out?

Under local anaesthesia, a small incision is made in the gum to expose the root tip. The root tip and the infected tissue are removed. The root canal is then sealed with a filling to prevent future infections.

This procedure can also be done under intravenous sedation.

Intravenous sedation is often preferred for procedures on the mouth, jaw and face. It is located between local anaesthesia and general anaesthesia. Sedation provides relaxation, reduces anxiety and pain and prevents you from having to undergo general anaesthesia. General anaesthaesia (narcosis) is a greater strain on the body. In addition, you recover faster after intravenous sedation and the risks are more limited than if you have to go into full sleep.

Aftercare

After root end surgery, the gum may be temporarily swollen and sore. Follow your doctor's advice on pain relief and oral hygiene carefully to support healing.