Unlike traditional root canal treatment, an apicoectomy or surgical root canal treatment is a surgical approach through the gum that allows removal of any inflamed or infected tissue near or around the tip of the root. When persistent symptoms and irregularities appear on your x-ray, your tooth may have a tiny fracture or canal that could not be detected during nonsurgical treatment. The very end of the root tip is removed and a retrofilling material may be placed to seal the end of the root canal and a few stitches are placed in the gingiva to help the tissue heal properly.

Apicoectomy allows your endodontist to examine the entire root of your tooth, find the problem, and provide the right treatment. While only performed when conventional root canal retreatment is not practical, apicoectomy or root-end resection for failing root canal-treated teeth can save them, returning the tooth, bone and gum tissues to health for many years. The removal of the root tip and the surrounding infected tissue of an abscessed tooth. This procedure is necessary when inflammation and infection persists in the area after root canal therapy or retreatment.


How is an Apicoectomy Performed?


Step 1

After the tooth is numbed, the gum is lifted to uncover the underlying bone and the root end of the tooth. The root-end is resected with all the surrounding infected tissue.

Step 2

A root-end filling is placed to seal the end of the root canal, the gum is repositioned, and a few dissolvable sutures are placed to hold the gum tissue back in its place until healing occurs.

Step 3

After a few months, the bone around the root-end will heal completely. Your surgeon will schedule follow-up visits.


If your endodontist is recommending an apicoectomy, it means that your tooth cannot be successfully treated with conventional root canal treatment. An apicoectomy is a minor surgical procedure that’s usually performed by a professional endodontist who specializes in the diagnosis and treatment of tooth pain from root canal disease, like Dr. Sarmiento.
When saving teeth with the conventional root canal treatment is no longer an option and the infection spreads into the surrounding bone and other tissues around the tip of the root, an apicoectomy will be the best option. If you live near Cypress, Tx. and you’re experiencing pain, contact Dr. Sarmiento and make an appointment as soon as possible, he will know what to do and he’ll help you solve your problem in the most reliable and professional way.

Sarmiento Microendodontics
13050 Louetta Road, Suite 216
Cypress, TX 77429
Phone: 346-701-5358
Fax: 832-698-2320
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