Apicoectomy is a surgical procedure to
remove residual infection from the root tips of teeth that have received
root canal treatment. When this procedure is indicated, it is usually because
re-treatment of the root canal system of the infected tooth is not feasible
or desirable. The purpose of the procedure is to remove infection from the
tooth root and bone around the tooth in order to prolong the useful life
of the tooth.
This procedure consists of gaining access to
the tooth roots via incisions in the gum tissue and bone overlying the tooth.
It is carried out in the office setting under local anesthesia or IV sedation.
Healing from this procedure requires a few days. When successful, the tooth
becomes asymptomatic and will function indefinitely.
A small percentage of these procedures are ultimately
unsuccessful, resulting in the loss of the tooth.