Your root canal has failed. Retreatment hasn't worked. Your dentist mentioned microsurgery. Here's what that actually means — and whether it's worth it.

Microsurgery for a failed root canal is called an apicoectomy. It's a minor surgical procedure where your dentist or endodontist removes the tip of the tooth root and seals it from the end.

Sometimes a tooth root has fractures or curves that make retreatment impossible. Infection may persist at the root tip despite repeated attempts to clean the canal. Microsurgery allows the dentist to access the problem directly.

Your dentist uses an operating microscope — hence the "micro" — which gives them remarkable precision. They make a tiny incision in your gum, remove the infected tissue, and seal the root tip with a small filling.

An apicoectomy has a high success rate — around 90% or higher when done by an experienced operator. It lets you keep your natural tooth rather than extracting it.

The procedure is done under local anaesthetic, so you won't feel pain during it. You might have some mild swelling afterwards, but most people are back to normal within a few days.

Keeping your own tooth is almost always preferable to extraction and replacement. If your dentist is recommending this, it's because they believe your tooth can be saved.

If you've been told you need an apicoectomy, ask to see images of your tooth and have the dentist explain exactly what they're planning to do. Understanding the procedure makes it less daunting.

Not every practice offers this service — it requires specialist training and equipment. Your dentist may refer you to an endodontist who focuses specifically on these procedures.

At Meads Village Dental Practice, we're happy to talk through your options and help you decide whether microsurgery is the right choice for your situation.

Call 01323 723757 or book at www.meadsdental.com

Meads Village Dental Practice