Apical Microsurgery
What to Expect

In some cases, a tooth cannot be successfully treated with root canal therapy or retreatment alone. When infection persists at the tip of the root, apical microsurgery (also called an apicoectomy) may be recommended. This is a minor surgical procedure performed under magnification and local anesthesia, designed to remove the source of infection and preserve your tooth.

• Persistent infection or cyst at the root tip that does not resolve with standard treatment. • Complex root anatomy that makes cleaning through the canal impossible. • The presence of fractured or blocked instruments inside the canal.

• You will receive local anesthesia to keep the procedure pain-free. • A small incision is made in the gum near the affected tooth to reach the root tip. • The infected tissue and the end of the root are removed. • The root canal end is sealed with a special filling material. • Stitches (sutures) are placed to allow the gum to heal. The procedure is carried out under a dental microscope, which allows maximum precision and careful preservation of healthy tissue.

• Some swelling and mild discomfort are normal for a few days after surgery. • Pain can usually be managed with regular over-the-counter medication. • Applying cold packs in the first 24 hours helps reduce swelling. • Good oral hygiene and following the post-operative instructions are important for proper healing.

• About 5 to 7 days after surgery, you will return for a second appointment. • At this visit, the stitches are removed, and the healing site is checked. • Your dentist will monitor progress and provide further instructions if needed.

• Removes persistent infection at the root tip. • Preserves your natural tooth, avoiding extraction. • Provides long-term stability when root canal retreatment alone is not sufficient.