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Home What is an Apicoectomy?

What is an Apicoectomy?


Posted on 6/2/2025 by Mukilteo Smiles Office
Female patient consulting with a dentist about severe tooth pain during an emergency dental appointment in a clinic.Have you ever experienced a persistent toothache that just won't go away, even after multiple treatments? If so, you're not alone. Millions of people suffer from persistent dental issues, and sometimes, these problems require specialized solutions. One such solution is called an apicoectomy, a procedure that can help save a tooth that might otherwise need to be extracted.

Understanding the Basics


An apicoectomy, also known as root-end surgery, is a minor surgical procedure performed by a dentist or oral surgeon. It involves removing the very tip of the root of a tooth, along with any infected or inflamed tissue surrounding it. This procedure is often necessary when a traditional root canal treatment has failed to eliminate the infection.

Why is an Apicoectomy Needed?


There are several reasons why an apicoectomy might be necessary:

•  Persistent infection: If a root canal treatment doesn't completely eliminate the infection, bacteria can persist in the tip of the tooth root. This can lead to ongoing pain, swelling, and even bone loss.
•  Unusual root anatomy: In some cases, the root of a tooth may have an unusual shape that makes it difficult to clean and disinfect during a root canal. This can also lead to persistent infection.
•  Fractured root: If the tip of the root of a tooth is fractured, it can become infected and require an apicoectomy.

The Procedure: What to Expect


An apicoectomy is typically performed under local anesthesia. The dentist will make a small incision in the gum tissue to expose the bone surrounding the tooth root. A small portion of the bone will be removed to access the tip of the root. The infected or inflamed tissue is then removed, and the tip of the root is sealed with a biocompatible material. Finally, the gum tissue is stitched closed.

Recovery and Aftercare


After the procedure, you may experience some mild discomfort and swelling. Your dentist will prescribe pain medication and provide instructions on how to care for the surgical site. It's important to follow these instructions carefully to ensure proper healing. You will need to eat soft foods for a few days and avoid strenuous activity. Most patients return to their normal activities within a week.

Long-Term Success


An apicoectomy can be a successful treatment for saving a tooth that might otherwise need to be extracted. With proper care, the tooth can last for many years. However, it's important to note that there is a small risk of complications, such as infection or nerve damage.

Taking Care of Your Oral Health


Preventing dental problems in the first place is always the best approach. Here are some tips for maintaining good oral health:

•  Brush your teeth twice a day with a fluoride toothpaste.
•  Floss daily to remove plaque and food debris between your teeth.
•  Visit your dentist for regular checkups and cleanings.
•  Eat a healthy diet and limit sugary drinks.
•  Avoid smoking and tobacco use.

Conclusion


An apicoectomy is a valuable option for saving teeth that might otherwise be lost. If you're experiencing a persistent toothache or other dental problems, talk to your dentist about whether an apicoectomy might be right for you. By taking care of your oral health and seeking timely treatment, you can keep your smile healthy and beautiful for years to come.



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Mukilteo Smiles, 4430 106th St SW, STE 101, Mukilteo, WA 98275, (425) 438-2400, smilesbythesound.com, 6/14/2025, Page Keywords: dentist Mukilteo WA,