Treatment · Endodontics

Endodontic surgery (apicoectomy)

When an infection persists at the tip of the root despite treatment, endodontic surgery makes it possible to treat it directly and keep the tooth.

What does it involve?

An apicoectomy involves reaching the tip of the root through a minor procedure, removing the infected tissue and sealing the end of the canal. It is indicated when a standard retreatment is not enough or not possible.

Performed under the microscope and local anaesthetic, it aims to save a tooth that would otherwise be lost.

Indications

  • Persistent infection at the root apex
  • Failed root canal treatment or retreatment
  • Cyst or granuloma at the root tip

Frequently asked questions

Is endodontic surgery painful?

Performed under local anaesthetic, it is well tolerated; mild discomfort may follow for a few days.

When is it used?

When an infection persists at the root tip despite a treatment or a retreatment.

Can the tooth be saved?

Yes: the aim is to keep a tooth that would otherwise be lost.