An apicoectomy is a surgical procedure performed when inflammation or infection persists in the bony area around the end of your tooth after a root canal.
Root canals can be very complex. Sometimes, infected tissue can remain in these branches, which can prevent healing or cause eventual re-infection.
In an apicoectomy, the root tip is removed along with the infected tissue. Gum tissue near the tooth is opened, which allows your endodontist to see the underlying bone and remove any inflamed or infected tissue. Your endodontist may remove the very end of the tooth’s root.
A small filling may be placed on the root to seal the end of the root canal. A few stitches or sutures are placed in the gums to help the tissue heal properly around the end of the root over a period of months.