An apicoectomy is performed to rescue a tooth after the bone around the root tip has become infected. A complete removal of the tooth would be the only alternative.
An apicoectomy is referred to as the surgical removal of the root tip, the mutated and inflamed bone tissues, and any existing radicular cysts.

When is an Apicoectomy necessary?

  • For anatomical reasons a root canal treatment was not successful (tightly curved root canals and canal branches), and a chronic inflammation at the root tip has emerged.
  • A prosthetic tooth (crown and pin) has a chronic inflammation at the root tip.
  • A chronic inflammation is a "center" from which other inflammatory processes in the body can originate.
  • A radicular cysts exists.
  • Tooth fractures are located in the area of the root tip.
  • A fragment of a root canal instrument is lodged in the region of the root tip.
  • A surgery of a cyst is needed.

What is the procedure?

The bone area is cut to expose the infected root tip through an incision in the gum. The offending tip is then shortened and the cavity is thoroughly cleaned and sutured. The stitches can be removed after 10-14 days.

What complications are possible?

  • Relapse (recurrence of chronic inflammation)
  • (Temporary) Loosening of the root-resected tooth, in case of a single-rooted tooth
  • In the maxillary: opening of the maxillary sinus with a certain risk of infection (sinusitis)
  • In the lower jaw: injury of the mandibular nerve with temporary (rarely permanent) loss of sensation in the lower lip and chin, on the respective side.
  • Hypersensitivity (allergy) to anesthetics or drugs are very rare: they cause everything from local symptoms like itching and redness, to convulsions, respiratory distress, and cardiac arrest. The latter are immediately hospitalized.

After Surgery