Apicoectomy

Apicoectomy in North York

If infection persists after a root canal, an apicoectomy removes the tip of the root and seals it to prevent further problems. Our experienced team uses advanced tools to perform this minor surgical procedure carefully and efficiently.

The goal is simple: to eliminate infection and help you keep your natural tooth.

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How an Apicoectomy can help you?

The dentist may recommend an apicoectomy in order to save a tooth from extraction. When this procedure is conducted, the tooth that would have otherwise been extracted is saved. The apicoectomy may be done after the patient has undergone a root canal treatment or retreatment. During the procedure, the apex or root tip is taken out along with other infected materials. This is done to cover any possible entry points for infections.

An apicoectomy is often recommended when there’s an infection that develops or doesn’t seem to go away after a root canal treatment or retreatment.

Apicoectomy removes tooth infection

There are several circumstances that would require an apicoectomy.

A wide array of connecting root branches

For instance, roots that have a wide array of connecting branches can be extremely difficult to clean when a root canal treatment is needed. If proper cleaning isn’t done, the patient may suffer from inflammation. An apicoectomy is done to prevent this.

An obstructed root canal Additionally, the root canal may be

Additionally, the root canal may be blocked by a fractured file, which was left over from a previous root canal treatment. This blockage can cause an infection. Debris on the remaining root canal of teeth can also create room for infection.

The shape of the root canal

If the shape of the root canal is complex such as too narrow or curved, it could be difficult for the dental tools or files to access the tip of the root. This can result in continual infection or re-infection.

Apicoectomy Procedure

How an Apicoectomy Works

An apicoectomy treats persistent infection or inflammation around the tip of a tooth root while helping preserve the natural tooth.

01

Examination & Imaging

We examine the tooth and review dental X-rays to assess the root, surrounding bone, and area of infection before planning treatment.

02

Local Anesthesia

Local anesthesia is used to numb the tooth and surrounding gum tissue and help keep you comfortable during the procedure.

03

Remove the Infection & Root Tip

A small opening is made in the gum so infected tissue and a small portion of the root tip can be carefully removed.

04

Seal & Close the Area

The root end is cleaned and may be sealed with a small filling. The gum is then repositioned and closed with sutures.

Typical Procedure Time Approximately 30–90 Minutes

Treatment time varies depending on the location of the tooth and the complexity of the root structure.

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QUESTIONS

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Is an apicoectomy painful?

An apicoectomy is performed under local anesthesia, so the area is numbed during treatment. Some tenderness, swelling, or discomfort may occur afterward, but this is usually manageable with the aftercare instructions provided by your dentist.

Most apicoectomy procedures take approximately 30 to 90 minutes, depending on the location of the tooth, the root anatomy, and the complexity of the infection.

 An apicoectomy may be recommended when infection or inflammation persists around the tip of a tooth root after root canal treatment, particularly when conventional retreatment may not fully address the problem.

 Initial gum healing usually occurs relatively quickly, although mild swelling or tenderness may last for several days. The surrounding bone continues to heal gradually over the following months.

 Yes. The purpose of an apicoectomy is to remove persistent infection around the root tip while preserving the remaining natural tooth whenever it can be predictably maintained.

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Empress Walk Dental is a full-service dental clinic offering services near North York Centre and we are looking forward to being the first choice for you and your family’s dental care!

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