An apicoectomy is a type of dental surgery that involves the removal of the tip of a tooth's root, known as the apex. This procedure is typically performed when a conventional root canal treatment has failed to resolve an infection or inflammation in the root canal system. Understanding apicoectomies is essential for patients who may be facing this type of surgery.

During an apicoectomy, the endodontist or oral surgeon accesses the root tip through a small incision in the gum tissue near the tooth. The infected or damaged tissue is then removed, along with a small portion of the root tip. The area is cleaned, sealed, and sutured to promote healing. This procedure helps eliminate persistent infections and save the tooth from extraction.

Patients may require an apicoectomy if they experience persistent pain or swelling following a root canal procedure or if a recurrent infection is present. X-rays and other imaging techniques help determine the need for an apicoectomy by revealing the extent of the damage within the tooth.

After an apicoectomy, patients can expect some discomfort and swelling, which can usually be managed with over-the-counter pain medications and ice packs. It is important to follow post-operative instructions provided by the dental team to promote proper healing and reduce the risk of complications.

Overall, understanding apicoectomies involves knowing that this procedure is a safe and effective way to treat persistent root canal infections and save a tooth from extraction. Patients should feel informed and confident when considering this type of dental surgery, as it can help alleviate pain and restore oral health.