Apicoectomy, also known as root-end surgery, is a dental procedure that involves removing the tip of the tooth's root and surrounding infected tissue. It is typically performed when a conventional root canal treatment fails to alleviate the infection or when there are complications in reaching the tip of the root through traditional methods.

When Is an Apicoectomy Recommended?

  • One common reason for recommending an apicoectomy is when there is persistent pain and swelling around the affected tooth despite previous attempts at treatment. This may indicate that there is still infected tissue present at the tip of the root that needs to be removed.
  • Another situation where an apicoectomy may be recommended is when a dental X-ray reveals a lesion or cyst at the end of a tooth's root. In these cases, removing just the tip of the root can help eliminate any remaining infection and prevent further complications.
  • Additionally, an apicoectomy may be recommended if there are narrow or curved canals in the tooth roots that make it difficult to clean thoroughly during a conventional root canal procedure. By accessing and treating the infection directly from outside the tooth, an apicoectomy can provide better access for cleaning and disinfection.

The Apicoectomy Procedure

During an apicoectomy, the oral surgeon will begin by administering local anesthesia to ensure your comfort throughout the procedure. They will then make a small incision in the gum tissue near the affected tooth to gain access to the root tip. 

Next, they will carefully remove any infected or damaged tissue from the apex (tip) of the tooth's root and shape it for sealing. A filling material is then placed in order to seal off the apex and prevent further infection. Stitches are used to close the incision site and promote proper healing. 

Over time, new bone should grow around the treated area, restoring your tooth’s stability and health. It's important to note that while an apicoectomy can be an effective solution for certain cases, not all teeth require this procedure. The oral surgeon will assess your individual situation and determine if an apicoectomy is appropriate for you.

Post-Operative Care

After undergoing an apicoectomy, it is crucial to follow proper post-operative care instructions to ensure a smooth recovery and optimal healing. Here are some important guidelines to keep in mind:

  • Medication: The oral surgeon may prescribe painkillers or antibiotics to manage any discomfort or prevent infection. It is essential to take the medication as directed and complete the full course.
  • Ice packs: Applying ice packs to the affected area can help reduce swelling and discomfort. Use them for about 15 minutes at a time, with breaks in between.
  • Oral hygiene: Maintaining good oral hygiene is vital during your recovery period. However, be gentle when brushing and flossing around the surgical site and follow the surgeon’s instructions to avoid disturbing the sutures.
  • Diet restrictions: Stick to soft foods that require minimal chewing for a few days after surgery. Avoid hot liquids, spicy foods, alcohol, smoking, and using straws, as these can hinder healing.
  • Rest and relaxation: Allow yourself ample rest and avoid strenuous activities for a couple of days after surgery. This will aid in faster healing.

To learn more about the services we offer, visit Associated Oral & Maxillofacial Surgeons at one of our three convenient locations. You can find our Frederick dental office at 6550 Mercantile Drive E, Suite 101, Frederick, MD 21703, our Hagerstown dental office at 1144 Opal Court, Hagerstown, MD 21740, and our Martinsburg dental office at 1007 Sushruta Dr, Martinsburg, WV 25401. You can also call us for any queries at (301) 694-0870, (301) 733-2500, or (304) 263-0991, respectively.


6550 Mercantile Drive E Suite 101, Frederick, MD 21703

Phone: (301) 694-0870

Email: frederickxrays@omaxdocs.com

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1144 Opal Court, Hagerstown, MD 21740

Phone: (301) 733-2500

Email: hagerstownxrays@omaxdocs.com

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1007 Sushruta Dr, Martinsburg, WV 25401

Phone: (304) 263-0991

Email: xraywv@omaxdocs.com

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