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Oral Surgery

Apicectomy

What is an Apicectomy?

An Apicectomy is the removal of a small part of the end of a root. 

Why is an Apicectomy needed?

An Apicectomy is required to clean out the infection at the end of the root where a conventional root treatment has failed.

Does it hurt?

No as a local anaesthetic is used.

What does it involve?

The aim of the treatment is to remove infection from the base of the root of the tooth. Access is gained through the gum rather than through the tooth like in conventional root treatment. A small window is made in the bone over lying the root. The root is then cleaned and filled to prevent any further infection.

About 3 – 4mm is removed from the root tip. This has two functions. The first is to remove the infected part and the second to facilitate the filling and healing of the root end.

What will my tooth look like after treatment?

Your tooth will look the same as before the treatment.

What if it happens again?

If the infection recurs you will need to discuss the future of the tooth with your dentist. Sometimes there is a small crack in the root which means it cannot be saved.

What if I don't have the treatment?

The alternative is to have the tooth out. Although some people would prefer an extraction, it is usually best to keep as many natural teeth as possible.

Where can this treatment be carried out?

Either your dentist or an oral surgeon can carry out this treatment.

What about aftercare?

Following the procedure, there may be some discomfort or slight swelling whilst the incision heals. This is perfectly normal. Your dentist may advise the use of an ice pack to help the swelling go down and anti-inflammatory tablets such as Ibuprofen will help with the swelling and discomfort. You will need to keep the area clean to aid healing.

For further information, ask your dentist about an Apicectomy or speak to the receptionist by calling us on 01902 763200.