Apicoectomy

Why would I need endodontic surgery?

Generally, a root canal is all that is needed to save teeth with injured pulp from extraction. Occasionally, this non-surgical procedure will not be sufficient to heal the tooth and Dr. Rhome will recommend surgery.

Endodontic surgery can be used to locate fractures or hidden canals that do not appear on x-rays but still manifest pain in the tooth. Damaged root surfaces or the surrounding bone may also be treated with this procedure. The most common surgery used to save damaged teeth is an apicoectomy or root-end resection.

What is an apicoectomy?

The video above illustrates the simple procedure of an apicoectomy. An incision is made in the gum tissue to expose the bone and surrounding inflamed tissue. The damaged tissue is removed along with the end of the root tip. A root-end filling is placed to prevent reinfection of the root and the gum is sutured. The bone naturally heals around the root over a period of months restoring full function.


1. Infected Tissue

2. Tissue Removed

3. Suture Placed

4. Healing Complete

What should I expect after an apicoectomy?

Following an apicoectomy procedure, there may be some discomfort or slight swelling while the incision heals. This is normal for any surgical procedure. To alleviate any discomfort, appropriate pain medication will be recommended. If you have pain that does not respond to medication, please call our office.

Contact Your Philadelphia Endodontist

By referring you to our office, your dentist has shown their concern that you receive the finest endodontic care possible. Our goal is to provide unsurpassed quality in a compassionate environment of professionalism and clinical excellence. We hope to exceed your expectations. If you have any questions about an apicoectomy or if you would like to schedule an appointment at our endodontic office in Center City Philadelphia, we encourage you to contact us today. We look forward to hearing from you!