Morgan Hill Endodontics:
Apicoectomy (Root-End Resection)
A Surgical Approach to Saving Your Tooth
What Is Apicoectomy (Root-End Resection)?
Apicoectomy, an endodontic surgery also known as root-end resection, is a specialized procedure performed by your endodontist when a conventional root canal or retreatment isn’t enough to resolve persistent infection or inflammation. During this micro-surgical approach, the tip (apex) of your tooth’s root is removed to eliminate the source of infection and ensure the tooth can heal properly.
Modern technology—such as digital imaging and operating microscopes—allows endodontic surgery to be performed with precision, comfort, and a high rate of success.
Why Would I Need an Apicoectomy?
Although most root canal treatments can last a lifetime, some may develop ongoing or new issues. In such instances, your endodontist may recommend apicoectomy to save your tooth and maintain your oral health.
What Happens During an Apicoectomy?
An apicoectomy typically involves these steps:
Local Anesthesia: You’ll be given a local anesthetic to keep you comfortable.
Gum Tissue Opening: The gum near the affected tooth is carefully opened to expose the underlying bone and any infected or inflamed tissue.
Root-End Removal: The tip (apex) of the root is removed to eliminate the source of infection or persistent inflammation.
Sealing the Canal: A small filling is placed at the root end to seal the canal and prevent future reinfection.
Sutures and Healing: The gum is sutured to facilitate healing. Over the next few months, the bone will naturally regrow around the treated root.
Will the Procedure Hurt?
Because a local anesthetic is used, most patients remain comfortable throughout the apicoectomy. As with any minor surgical procedure, you may experience some discomfort or swelling afterward. Your endodontist will recommend appropriate pain management and provide detailed postoperative instructions to help you recover quickly.
Can I Drive Myself Home?
Many patients can drive themselves home after apicoectomy, but you should confirm this with your endodontist prior to your appointment. If needed, arrange for transportation so you can rest and focus on healing.
When Can I Return to My Normal Activities?
Most individuals feel well enough to resume work and daily routines the very next day. Your endodontist will discuss your expected recovery time and any precautions to ensure optimal healing.
What Are the Alternatives to Endodontic Surgery?
Once endodontic retreatment has been ruled out, the primary alternative to an apicoectomy is often removing the tooth entirely. Tooth extraction typically requires additional procedures—such as dental implants, bridges, or partial dentures—to maintain proper function and alignment.
At Morgan Hill Endodontics, we blend advanced technology with compassionate expertise to ensure the best possible outcome for your endodontic surgery. We’re here to help you find relief, protect your natural tooth, and maintain a confident, healthy smile.
