Root End Surgery / Apicoectomy

Root End Surgery/ Apicoectomy

A treatment option for a failed root canal treatment .

When is root end surgery recommended ?

The root end surgical procedure is advised when -

• A previously done root canal treatment has been unsuccessful


• When retreatment of Root canal is not recommended


• Retreatment of root canal has failed


• Fractures or hidden canals that do not appear on x-ray but manifest as pain in the tooth


• The infection at the root tip has not healed

What is the procedure of root end surgery or apicoectomy?

This procedure involves removing last few millimetres from the end of the roots of a failing root canal treatment.

An incision is made in the gum to expose the bone and surrounding tissues of the roots of the tooth involved tooth. The damaged tissue is removed along with the end of the root tip. The tip of the root is then sealed with a biocompatible material.

A suture is used to close the incision in gums. The tissues and the bone heals naturally around the root.