Apicoectomy

Safe & Effective Treatment for Infected Tooth Roots

An apicoectomy is a procedure that treats infections in the very tip (also known as the apex) of your tooth’s root. An apicoectomy completely removes the apex and replaces it with a small dental filling. This filling seals the root of the tooth and prevents infection from spreading.

Sometimes, a root canal does not fully eliminate the infection of a tooth. When this happens, an oral surgeon surgically removes the remaining infection by removing the root’s tip. At our offices in Avon, Glastonbury, and Enfield, CT, we ensure our patients remain comfortable and informed during any type of treatment.

When is an Apicoectomy Necessary?

Sometimes, after root canal treatment, infected debris can remain in the canals and branches that extend out from the root of the tooth. During a root canal, a dentist cleans these branches, but unfortunately, an infection can sometimes remain and persist even after multiple root canals have been performed to address the problem.

When root canal therapy is unsuccessful, an apicoectomy performed by an oral and maxillofacial surgeon eliminates infection and saves the natural tooth. Your dentist will recommend you to an oral surgeon if an apicoectomy is recommended.

How is an Apicoectomy Performed?

Prior to treatment, you will meet with one of our oral surgeons during a consultation. We will take 3D scans of your teeth, which allow us to see the affected area and other dental problems. Before the apicoectomy procedure, your oral surgeon will administer an anesthetic so that you will not feel any pain.

Our office proudly offers EXPAREL^®, the safe and long-lasting pain management option. It provides comfort following surgery and reduces or eliminates the need for narcotic medication. Learn more about EXPAREL.

Next, the surgeon will access the root tip through the side of the gums and will remove the tip of the root. All signs of infection in and around the tooth will be cleaned using special ultrasonic tools. Once the infection is eliminated, a small filling, usually made of composite or resin, will be placed to protect the root of the tooth. The surgical site will then be sutured and left to heal. The total procedure usually takes between 30 and 90 minutes.

If root canals have not been able to successfully treat an infection in your tooth root, you may be recommended for an apicoectomy procedure. Our oral surgeons will be happy to discuss your treatment options during a consultation. Contact us today to schedule your appointment.