What Is an Apicoectomy and Why Would I Need This Procedure?
Posted on 7/15/2025 by Esthetic Smiles
Have you ever experienced a persistent toothache that just won't go away? Maybe you've had a root canal, but the pain keeps coming back. In some cases, an apicoectomy, also known as an apico, might be the solution you need.
What is an Apicoectomy?
An apicoectomy is a surgical procedure that removes the tip of the root of a tooth and the surrounding infected tissue. It's typically performed when a root canal hasn't been successful in eliminating infection or when the infection extends beyond the root tip.
Why Would I Need an Apicoectomy?
There are several reasons why your dentist might recommend an apicoectomy:
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Persistent infection after a root canal: Sometimes, bacteria can remain in the root canal system even after treatment. This can lead to an ongoing infection that doesn't respond to antibiotics.
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Canal anatomy that is difficult to treat: Some teeth have intricate root canals that are challenging to clean and disinfect during a root canal procedure.
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Fractured root tip: In some cases, the tip of the root can fracture, making it difficult to remove the infected tissue.
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External resorption: This occurs when the body starts to break down the bone around the root tip.
What to Expect During the Procedure
An apicoectomy is usually performed under local anesthesia. Your dentist will make a small incision in your gum to access the root of the tooth. Then, they will remove the tip of the root and any infected tissue. In some cases, a small filling may be placed at the end of the root. The incision will be closed with stitches, and you'll be given instructions on how to care for the surgical site.
Recovery and Aftercare
After an apicoectomy, you may experience some pain, swelling, and bruising. This is normal and should subside within a few days. Your dentist will prescribe pain medication to help manage discomfort. You'll also need to eat soft foods for a few days and avoid strenuous activity. It's important to follow your dentist's instructions carefully to ensure proper healing.
Success Rates and Alternatives
The success rate of an apicoectomy is high, with approximately 85-90% of cases being successful. However, it's important to note that there is a small chance that the infection may not be completely eliminated and that further treatment may be necessary.
In some cases, an apicoectomy may not be the best option. For example, if the tooth is severely damaged or has extensive bone loss, removing the tooth may be a better choice. Your dentist will discuss all of your treatment options with you and help you decide which is best for your individual situation.
Conclusion
An apicoectomy can be an effective way to treat a persistent tooth infection and save a tooth that might otherwise need to be extracted. If you're experiencing a toothache that won't go away, talk to your dentist about whether an apicoectomy is right for you.
Oxnard, CA Dentist | About Esthetic Smiles Establishing a higher level of dental care through our professional experience, expertise, and advanced techniques in Oxnard, CA. Call to book an appointment! Esthetic Smiles - Dr. John Abajian, DDS, 1901 N. Solar Dr. Suite 135, Oxnard, CA 93036 ~ 805-365-4222 ~ myestheticsmile.com ~ 11/4/2025 ~ Page Keywords: dentist Oxnard CA ~
Have you ever experienced a persistent toothache that just won't go away? Maybe you've had a root canal, but the pain keeps coming back. In some cases, an apicoectomy, also known as an apico, might be the solution you need.