Apicectomy
An apicoectomy is the removal of the tip of the root of the tooth, known as the apex. This minor surgical operation is performed. If infection or cysts continue to be a problem after root canal treatment or if your dentist is unable to seal the root tip with a normal root filling. An apicoectomy is usually carried out under a local anesthetic. Apicectomy will not eliminate infection without a root canal treatment is in place first.
What is involved?
The surgeon will numb the tooth and the surrounding area. A flap of gum is lifted, and the tip of the root and a small amount of surrounding bone and infected tissue is removed. The area is cleaned and disinfected. The tip of the tooth root is cut back by a few millimeters. Sometimes a small filling is placed in the root to seal the end of the tip. The gum is stitched back into place using dissolvable stitches.
What to expect afterward?
You may wish to have someone with you, especially when you leave the hospital. You may need to take time off work afterward because you will have some discomfort and swelling for several days. We will give you advice about taking painkillers and looking after the surgical area. If your doctor prescribes antibiotics, please complete the course and follow the instructions carefully. Should there be any mild bleeding around the gums after the procedure, use the clean swab of gauze you have been given in the clinic or a clean, small cloth to apply firm pressure to the area for 15 minutes. Please avoid the use of tissues. Repeat as necessary. Avoid smoking as this can delay healing. You should expect a small amount of gum recession around the affected tooth, especially if it is a ‘cap’ or crown, and you may have a faint scar line higher up on your gum.
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