Apicoectomy (Root-End Surgery)

Surgical Solution for Root-End Infections
Apical resection is a surgical procedure performed to remove infected tissue at the tip of a tooth root when a root canal treatment has failed to heal or has become re-infected. It is generally applied in cases where pain, abscess, or cystic formations are seen radiologically after root canal therapy. This operation is one of the final steps to save the tooth without extraction.

The infected tissue at the root tip, and sometimes a small portion of the root itself, is removed. During the procedure, the end of the root canal is sealed with special materials to prevent reinfection.

When Is Apical Resection Performed?

• When an infection persists despite root canal treatment

• When a cyst or granuloma develops at the root tip

• In cases of persistent pain and swelling around the tooth

• When a second root canal treatment is not possible

• When repeating root canal treatment is risky or ineffective

• When the root tip is curved or fractured, making conventional treatment unsuccessful

How Is Apical Resection Performed?

• The area is numbed with local anesthesia.

• The gum is opened and the jawbone is gently removed to access the root tip.

• The infected tissue and part of the root are excised.

• The root canal tip is disinfected and sealed with a leak-proof filling material.

• The area is cleaned, stitched, and the procedure is completed.

• Antibiotics and painkillers may be prescribed if necessary.

• The procedure typically takes 30–45 minutes, and thanks to local anesthesia, the patient feels no pain.

Advantages of Apical Resection

• Treats persistent infections without tooth extraction

• Helps preserve the natural tooth

• Provides fast and effective results

• With successful application, the tooth can last for many years

• Completely eliminates cysts and granulomas

Post-Treatment Care

• Avoid hot food and drinks for the first 24 hours

• Apply an ice compress to prevent swelling (for the first 6–8 hours)

• Brush gently, avoiding pressure on the treated area

• Refrain from smoking or alcohol for at least 48 hours

• Take prescribed antibiotics and painkillers as directed

• Stitches are usually removed within 7–10 days

• Do not skip follow-up appointments

What to Expect After the Procedure

• Mild swelling and pain are normal

• Slight tenderness may persist for a few days

• Temporary numbness or bruising may rarely occur

• Relief is usually felt within a week; persistent symptoms should be evaluated by the dentist

Frequently Asked Questions

1. Is apical resection painful?
   No. It is performed under local anesthesia, so no pain is felt during the procedure. Mild pain or sensitivity may occur afterward.

2. Is this procedure a substitute for root canal treatment?
   No. Apical resection is performed on a tooth that has already undergone root canal therapy when it fails to heal.

3. How long will the tooth last after the operation?
   With successful treatment, the tooth can remain functional for many years.

4. Can all teeth undergo apical resection?
   Not always. It may be difficult to apply to multi-rooted teeth in the back of the mouth. The dentist decides after examination.

5. Will swelling occur after the operation?
   Yes, slight swelling may occur. This can be managed with ice compresses and prescribed medications.