Apicoectomy in San Francisco
When infection persists at the root tip despite root canal treatment, microsurgical apicoectomy targets the problem directly—and saves the tooth.
What Is an Apicoectomy?
An apicoectomy—also called root-end surgery or root-end resection—is a microsurgical procedure in which the endodontist accesses the tip (apex) of the tooth’s root through a small incision in the gum tissue, removes the infected root tip along with any surrounding diseased tissue, and places a small biocompatible filling to seal the end of the root canal.
This procedure is typically recommended when infection or inflammation persists at the root tip after conventional root canal treatment or retreatment, particularly when retreatment through the crown of the tooth isn’t feasible—for example, when a post, crown, or bridge is in place that would be damaged by removal.
Modern Microsurgical Approach
Today’s apicoectomy bears little resemblance to the procedure of decades past. At Endodontic Arts of San Francisco, we perform endodontic microsurgery using the dental operating microscope (up to 25× magnification), ultrasonic instruments that prepare precise root-end cavities, and biocompatible root-end filling materials with excellent sealing properties.
CBCT 3D imaging plays a critical role in surgical planning—mapping the precise location of the root tip relative to the sinus, inferior alveolar nerve, and adjacent teeth before the first incision is made.
The result is a smaller incision, more conservative bone removal, a more precise root-end seal, faster healing, and a success rate that published research places at approximately 90% or higher when performed with microsurgical techniques.
Recovery After Apicoectomy
Most patients experience mild to moderate discomfort and some swelling for the first two to three days following surgery. Over-the-counter pain medication is typically sufficient, and prescription medication is available if needed. Sutures are usually removed within a week. Most patients return to normal activity within a day or two.
Full bone healing around the surgical site takes several months, and your endodontist will schedule follow-up visits to monitor healing with periodic imaging.
Surgical Precision to Save Your Tooth
If your dentist has recommended an apicoectomy or you’re dealing with persistent symptoms after a root canal, we’re here to help.
Related Services
Root Canal Retreatment • Root Canal Treatment • CBCT 3D Imaging