When a tooth doesn’t heal properly after a root canal, your dentist may recommend an apicoectomy. While the term might sound intimidating at first, this specialized endodontic procedure is actually a common and highly effective way to save your natural tooth and prevent further infection from developing. An apicoectomy is often considered when a traditional root canal has already been performed but healing has not progressed as expected, or when persistent inflammation or infection remains at the tip of the tooth’s root.
If you’ve been informed that an apicoectomy might be necessary, it’s normal to have questions about what the procedure involves, how it works, and what to expect during recovery. Understanding the details can help ease any anxiety and prepare you for a smoother, more informed experience. This FAQ will provide a comprehensive overview, addressing the most common questions patients have about an apicoectomy and helping you feel confident in your treatment decisions.
Frequently Asked Questions
What Is an Apicoectomy?
An apicoectomy is a minor surgical procedure performed by an endodontist. It involves removing the very tip (apex) of the tooth’s root and sealing it to stop infection. By treating the root end directly, this procedure can help preserve your natural tooth when other treatments haven’t fully resolved the problem.
Why Would I Need an Apicoectomy?
An apicoectomy may be recommended if:
- Infection persists after a root canal
- A tooth has complex root structures that are difficult to treat with standard methods
- There’s a small fracture or hidden canal that wasn’t addressed during previous treatment
This procedure is often considered the last effort to save a tooth before extraction becomes necessary.
Is an Apicoectomy Painful?
Patients are often relieved to learn that an apicoectomy is not painful. The area is numbed with local anesthesia, and most patients report little to no discomfort during the procedure. Mild soreness or swelling afterward is normal and typically resolves within a few days.
How Long Does Recovery Take?
Most patients recover quickly after an apicoectomy. You may notice tenderness and slight swelling near the surgical site for a few days, but this can usually be managed with over-the-counter pain relievers. Good oral hygiene and following your dentist’s instructions will help ensure a smooth recovery.
What Are the Benefits of an Apicoectomy?
The primary benefit is that it allows you to keep your natural tooth. Additional benefits include:
- Stopping the spread of infection
- Preventing tooth extraction
- Relieving pain or discomfort from lingering infection
- Restoring full function to the affected tooth
How Successful Is an Apicoectomy?
Apicoectomies have a high success rate when performed by an experienced endodontist. Many patients keep their treated tooth for years following the procedure, with most cases having the treated tooth lasting for life.
Trust Your Smile to Experienced Care
At James A. Penney, III, DDS, we understand that dental procedures can feel overwhelming. Our team in Little Rock provides expert, compassionate care to help you feel comfortable and confident throughout your treatment.
If you’ve been told you may need an apicoectomy or want to learn more, call our office today to schedule a consultation. We’ll answer your questions and help you take the next step toward lasting oral health.