Date: April 17, 2014 Richard Jones

Fast Facts on Apicectomy

An apicectomy is an endodontic surgical procedure that is done to take off the tip of the tooth root, as well as the infected tissue that surrounds the area. The apicetomy is usually undertaken by your dentist or dental surgeon when a regular root canal procedure fails to remove all the infection in the affected area, especially when the patient experiences severe discomfort even after the root canal procedure.

This is Dentistry will give you the information you need about apicectomy, so you can prepare yourself in all aspects before undergoing this dental procedure. Knowing more about apicectomy will give you the right frame of mind, so you can discuss the procedure in deeper detail with your dentist. This is Dentistry also gives you the contact details of dentists in your local area, so you can find a dental expert who can discuss the apicectomy with, long before the procedure needs to be done.

Dental Conditions Treated with an Apicectomy

These are the dental conditions that can be treated with apicetomy:

  • Teeth with posts or caps
  • Fractured tooth root
  • Root perforations
  • Infection or cyst that cannot be treated with a root canal procedure
  • Symptoms that do not go away even when no problems are indicated by x-rays
  • Extremely curved tooth root
  • Calcification
  • Persistent infection and pain in the affected area
  • Damaged root surfaces, as well as the surrounding bone area

Preparations for the Apicectomy

Prior to the apicectomy, your dentist will get your medical and dental history to better prepare yourself for the surgical procedure. X-rays of your teeth and whole mouth may also be taken prior to the apicetomy, and your dentist may also encourage you to arrange for help and transportation after the apicectomy, as you may not be able to travel by yourself after the procedure.

Things to Expect During the Apicectomy

  • The area where the apicectomy will be done will be numbed by your dentist, and the gum will be cut so your dentist can access the tooth root.
  • The surrounding tissue that has been infected, as well as about 2-3 millimeters of root end will be removed with the apicectomy.
  • The tooth will need to be examined for cracks and fractures using a dye. If cracks or fractures are present, the apicetomy will be stopped, and tooth extraction will then be the next best option.
  • The apicetomy is cleaned by cleaning the canal of the tooth, afterwards filling it to seal the root canal’s end.
  • The gum is placed in its original position and held in place securely by a few sutures.


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