Apicoectomy (Root End Surgery)

A Last Chance to Save Your Tooth Before Extraction

Does this sound familiar? You’ve already had a root canal, but the infection keeps coming back. Now, your tooth is still causing pain—and it’s looking like the last option is to get the tooth removed. But before you make that decision, there’s another solution that could save your natural tooth.

An apicoectomy, or root-end surgery, removes infected tissue at the tip of the tooth’s root without extracting the tooth itself. This minimally invasive procedure eliminates the infection, while preserving your natural tooth. Keeping your natural tooth offers several benefits, like helping you maintain your bite, avoid bone loss, and prevent the need for implants or bridges in the future.

Signs You May Need an Apicoectomy

A root canal isn’t always a permanent fix. If the infection lingers at the root tip, it can lead to further damage. You may need an apicoectomy if you experience:

• Persistent pain or swelling in a tooth that has had a root canal
• A gum infection that keeps returning near the treated tooth
• A cyst or abscess forming at the root tip
• X-ray evidence of bone loss around the tooth’s root
• Blocked or fractured root canals that prevent further treatment

If you’re dealing with any of these symptoms, an apicoectomy could potentially be the best way to save your tooth.

What Happens During the Procedure?

The first step is an exam and diagnosis. Using advanced 3D imaging, we assess the root and surrounding bone to determine if an apicoectomy is the right option for you. If so, we’ll explain the procedure in detail and answer any of your questions.

To make sure you’re as comfortable as possible during treatment, the surgery is performed under local anesthesia. A small incision is made in the gum tissue to access the root tip. The infected tissue and a small portion of the root are removed, and the area is then sealed to prevent reinfection. Once the procedure is complete, the gum tissue resecured into place, and you begin to heal.

Recovery is generally a smooth process. Some mild swelling and discomfort are expected for the first few days, but most patients can resume normal activities within 24 to 48 hours. Over the next few months, the bone naturally heals around the treated area, restoring strength and stability to the tooth.

Why Save Your Tooth Instead of Extracting It?

It might seem easier to remove the tooth, but keeping it offers long-term benefits for your oral health. Here are a few of the main benefits:

• Preserve your natural tooth and avoid the need for a bridge or implant
• Prevent jawbone loss, which occurs when a tooth is missing
• Maintain normal bite function and speech, preventing future dental issues
• Save money over time, since replacing a tooth is often more expensive than saving it

Why Choose Breakwater Oral Surgery for Your Apicoectomy?

While we understand that surgery can feel overwhelming, our team makes the process as stress-free as possible. We specialize in advanced endodontic microsurgery and use the latest 3D imaging and precision techniques to ensure a successful outcome.

Our minimally invasive approach focuses on reducing discomfort and preserving your tooth for the best long-term results. With a high success rate, we help patients avoid extractions and maintain their natural smiles.

Schedule Your Consultation Today

If you’re experiencing persistent pain or infection after a root canal—don’t wait until extraction is your only choice. Call Breakwater Oral Surgery today to schedule a consultation and find out if an apicoectomy can save your tooth.

Schedule a Consultation