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What Is an Apicoectomy and When Is It Needed?

Dental care is about more than just fixing problems. It’s about helping patients feel informed, comfortable, and confident in their treatment decisions. When a tooth continues to cause discomfort even after a root canal, patients are often surprised to learn there is still a way to save it. One such option is a procedure called an apicoectomy, a proven treatment designed to address infection while preserving your natural tooth. Knowing what this procedure involves and why it may be recommended can help ease concerns and make the next steps clearer. That’s why this month, your trusted MA dentist from Smile Boutique is here to help walk you through the process.

What Is an Apicoectomy?

An apicoectomy is a minor dental surgical procedure that focuses on the tip of a tooth’s root. The term comes from the word “apex,” which refers to the root end of the tooth. During this procedure, the dentist removes the infected tissue at the root tip and seals the area to prevent future infection.

This treatment is typically considered when a standard root canal has already been performed but infection or inflammation remains at the root’s end.

Why an Apicoectomy May Be Recommended

In most cases, a root canal successfully removes infection from inside the tooth. However, sometimes bacteria remain at the very tip of the root or develop later due to tiny canals that are difficult to clean completely. When this happens, infection can continue even after root canal treatment.

An apicoectomy is often recommended when:

  • Infection persists after a root canal
  • Retreatment of the root canal is not possible
  • There is inflammation or a cyst at the root tip
  • Saving the natural tooth is preferable to extraction

What Happens During the Procedure

An apicoectomy is typically performed under local anesthesia, so patients remain comfortable throughout the procedure. A small incision is made in the gum near the affected tooth to access the root tip. The infected tissue is removed, and the end of the root is sealed to prevent future infection. The area is then closed and allowed to heal naturally.

The procedure is precise and targeted, focusing only on the affected area rather than the entire tooth.

Recovery and Healing

Most patients experience mild swelling or tenderness for a few days after an apicoectomy. These symptoms are usually manageable with over-the-counter pain relief and proper aftercare. Healing progresses steadily, and normal activities can often be resumed quickly. Your dentist will provide detailed instructions to support a smooth recovery and monitor healing during follow-up visits.

Why Saving Your Natural Tooth Matters

Preserving your natural tooth helps maintain proper chewing function, jaw health, and alignment of surrounding teeth. An apicoectomy can often prevent the need for extraction and more extensive treatments, making it a valuable option for long-term oral health.

 

Smile Boutique | MA Dentist

If you have ongoing tooth discomfort or have been told you may need an apicoectomy, we’re here to help. Contact our dental office today to schedule a consultation with our trusted MA dentist and learn whether this treatment is right for you. Our goal is to keep your smile healthy, comfortable, and strong for years to come.

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Happy Holidays!

Smile Boutique will be closed from December 20ᵗʰ through January 2ⁿᵈ, 2025.

We will resume regular business hours on January 3ʳᵈ.