An apicectomy is a small surgical procedure used to treat infection at the tip of a tooth root.

It involves removing the very end of the root and sealing it to help stop infection coming back.

It is usually considered when other treatments have not worked.

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Why might I need an apicectomy?

An apicectomy is done to try to save a tooth.

You may need one if:

• A tooth has already had root canal treatment.
• The infection has returned.
• Repeating the root canal treatment is not possible or unlikely to succeed.

Rather than removing the whole tooth, an apicectomy can sometimes allow you to keep it.

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What happens during an apicectomy?

The procedure is usually carried out under local anaesthetic, so the area is numbed.

This video will show you how an apicetomy is performed.

During the procedure, your dentist or specialist will:

• Numb the area around the tooth.
• Make a small cut in the gum to reach the root tip.
• Remove the infected tip of the root.
• Clean the area thoroughly.
• Seal the end of the root with a small filling.
• Stitch the gum back into place.

You should not feel pain during the procedure, but you may feel some pressure.

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How long does the procedure take?

An apicectomy usually takes around 20 to 30 minutes.

Afterwards:

• Some discomfort is normal for a day or two.
• Mild swelling or bruising can last a few days.
• Pain relief can help if needed.

Your dental team will give you aftercare advice.

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How can I help the area heal?

To support healing:

• Avoid smoking for several days.
• Avoid alcohol for the first few days.
• Avoid strenuous exercise for a short time.
• Use a warm salt-water mouth rinse if advised.
• Keep the area clean, but be gentle when brushing nearby.

Healing usually improves steadily over the first week.

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How successful is an apicectomy?

Success rates vary depending on:

• The tooth involved.
• The size of the infection.
• Your general oral health.

Studies show that many apicectomies are successful, especially when carried out carefully and followed by good aftercare.

Your dentist can explain how likely the procedure is to work in your situation.

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Are there alternatives?

In some cases, the only alternative may be:

• Removing the tooth.

Your dental team will discuss:

• The benefits and risks.
• Whether an apicectomy is suitable for you.
• Other treatment options if available.

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Need advice?

If you have been told you may need an apicectomy, speak to your dental team.

They can explain the procedure, answer questions, and help you decide what is best for you.