Apicoectomy is a surgical procedure to remove the apex or the tip of the tooth’s root.  This type of procedure is typically suggested only after a root canal has been performed, and the tooth is still causing you problems. Although this type of procedure is rarely considered in modern day dentistry, being educated in your options is always best. The team at Prime Smile can assist with all of your questions and concerns when it comes to root canals, solutions, and an apicoectomy in MA.  This article was created to help you better understand the basics behind the procedure should it ever be suggested for your oral care.


Reasons for an apicoectomy

As many of us know, infected or inflamed tissue around the root of a tooth can be extremely painful and sometimes debilitating.  In the rare instance that a conventional root canal treatment has been performed, but is unable to save your tooth, your endodontist may suggest an apicoectomy.  This will allow for the tooth’s preservation while eliminating any infection. Here are a few other reasons that an apicoectomy may be recommended:

  • Small Adjoining Root Branches

Roots are complex and can contain many tiny branches. If these tiny branches cannot be cleaned and sealed when the root canal treatment is performed, inflammation can persist.


  • Blocked Root Canal

In some cases, the surgeon is unable to effectively clean a root canal because it is blocked by a fractured file left behind from prior root canal treatment. Infection and debris can quickly affect adjacent teeth.


  • Narrow or Curved Root Canals

When the root canal is poorly shaped, the endodontic files cannot reach the root tip. Continuing infection or re-infection can occur.


What to expect during an apicoectomy in MA

Under local anesthesia, an incision is made in the gum to expose the inflamed tissue and root.  The problem area will then be removed using ultrasonic instruments. The root will then be sealed with a small filling and closed up with stitches.  

Although this is a day surgery, the aftercare is crucial to proper healing.  Patients are sent home with instructions and pain medications. Discomfort and swelling are normal after surgery. Within the next few days, you can expect to return to have your stitches removed.  Your connective tissues will fully heal over the next few months.


apicoectomy massachusetts


If you recently had a root canal and are experiencing pain or discomfort, it may be time to give Prime Smile a call.  As experts in apicoectomy in MA, our team will provide you with optimal results.  Call our office today to schedule your consultation 508.356.5446


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