Your root canal has failed. Retreatment did not work. Your dentist has mentioned an apicoectomy. Before you worry, let us walk through exactly what this procedure is — and why it might actually be good news.

An apicoectomy is a minor surgical procedure. The dentist or endodontist makes a small cut in the gum near the tip of the root and removes the very end of the root itself — along with any infected tissue around it.

The word sounds frightening, but the procedure is routine in the right hands. It is also sometimes called root-end surgery because that is exactly where the work happens.

This procedure comes after a root canal and usually after a retreatment has been attempted or ruled out. It is typically considered when the infection persists at the tip of the root despite conventional treatment.

It might also be an option when the anatomy of the root makes retreatment difficult — for example, if there is a post or a crown making it hard to access the canals from above.

In short: your dentist has tried the non-surgical route. The apicoectomy is the surgical backup plan to save a tooth that would otherwise need extracting.

You will have a local anaesthetic, so the area will be completely numb. The dentist makes a tiny incision in the gum to expose the bone beneath. A small amount of bone is removed to access the root tip.

The tip of the root — usually around 3mm — is removed. The canal is cleaned from the end and sealed with a small filling. The gum is then stitched back into place.

The whole thing takes roughly 30 to 90 minutes, depending on which tooth is being treated. Molars take longer than front teeth.

You might feel sore for a day or two, and there can be some mild swelling. Most people are back to normal within a week. Over-the-counter painkillers are usually enough to manage any discomfort.

The stitches come out after about a week. Your dentist will check the healing at a follow-up appointment.

Success rates for apicoectomy are generally high — around 85 to 90%. It will not guarantee the tooth lasts forever, but it does give it a fighting chance when everything else has failed.

The key is choosing an experienced operator and following aftercare advice carefully. Looking after the tooth afterwards with good hygiene and regular check-ups will give it the best possible outlook.

If you are facing the prospect of an apicoectomy, or if you have been told your root canal tooth cannot be retreated, get in touch. We will assess the situation and talk through the best way forward for your smile.

Call 01323 723757 or book at www.meadsdental.com

Meads Village Dental Practice