Preserving a Root-Treated Tooth

If the tissue at the root tip of an already root-treated tooth becomes inflamed again, this does not automatically mean the end of the tooth. In an apicoectomy, the inflamed root tip is surgically removed and the remaining root canal is sealed from the incision site.

This often allows a tooth to be preserved that would otherwise have to be extracted. The procedure is performed under local anaesthetic and usually takes between 30 and 60 minutes, depending on the position of the tooth.

The Most Important Facts at a Glance

  • An apicoectomy removes the inflamed root tip of an already root-treated tooth.
  • The goal is to preserve the tooth instead of having to extract it.
  • The procedure is performed under local anaesthetic and usually takes 30 to 60 minutes.
  • Slight swelling is possible after the procedure and subsides within a few days.

Frequently Asked Questions

When does an apicoectomy make sense?
If inflammation forms again at the root tip of an already root-treated tooth and a repeat root canal treatment is not sufficient, an apicoectomy can preserve the tooth.
How successful is an apicoectomy?
With careful diagnostics and execution, the prospects of success are good, but depend on the individual starting situation. We discuss your personal prognosis before the procedure.
Is the procedure painful?
The procedure itself is performed under local anaesthetic and is low in pain. Afterwards, as with other minor operations, mild discomfort may occur.
What happens if the apicoectomy does not help?
In rare cases, tooth preservation may not succeed despite the procedure. We then discuss further treatment options together, such as implant treatment.