WHAT IS AN APICOECTOMY?An apicoectomy is performed when a previously endodontically treated (root canal) tooth becomes infected.
This may result from the loss of the seal at the root tip or small canal branches that can not be sealed by root canal therapy.An apicoectomy is an attempt to salvage a tooth that would otherwise need to be extracted. Although an apicoectomy is typically successful, there are cases where the tooth may be too compromised for predictable success. Your surgeon will discuss your case with you on an individual basis and in conjunction with your dentist.
HOW IS AN APICOECTOMY PERFORMED?
The diagram illustrates the procedure. An incision is made in the gum tissue to expose the bone and the surrounding inflamed tissue. The diseased tissue is removed aloong with the end of the root tip. A root-end filing is placed to prevent reinfection of the root and the gum is sutured.
The bone naturall heals around the root over a period of months, restoring the function.