What is an apicoectomy?

A root end surgery, where the tip of the tooth’s root is removed and a root end cavity is filled.

Citations
Root end surgery, also known as apicoectomy, is a dental procedure performed to remove the tip of a tooth's root and seal the root end cavity to treat infections that persist after a root canal treatment. This surgery is typically recommended when inflammation or infection persists in the bony area around the end of the tooth after a root canal, or when there is a blockage that prevents the dentist from completing the root canal. The procedure involves exposing the root tip through the gum, removing the infected tissue, and sealing the root end to prevent future infection. It is a common and effective treatment to save a tooth that might otherwise need to be extracted.

Cost Range

The cost of an apicoectomy can vary based on the complexity of the case, the location of the dental practice, and the dentist’s expertise. On average, patients can expect to pay between $900 and $1,300 per tooth. Some dental insurance plans may cover part of the procedure, but it's advisable to verify with your provider.

Local Tips

  • Consult with a specialist, such as an endodontist, who has additional training in these types of procedures.
  • Check online reviews and ask for recommendations from friends or family to find a reputable dental professional in your area.
  • Consider asking multiple providers for quotes to compare pricing and services offered.

FAQs

Is root end surgery painful?

The procedure itself is performed under local anesthesia, so patients should not feel pain during the surgery. Some discomfort and swelling may occur after the procedure, but this can usually be managed with over-the-counter pain relievers.

How long does it take to recover from a root end surgery?

Recovery time can vary, but most patients can return to normal activities within a day or two. Full healing of the bone may take several months.

What are the risks associated with an apicoectomy?

As with any surgical procedure, there are risks, including infection, bleeding, or injury to nearby teeth. However, complications are rare when the procedure is performed by an experienced dentist or endodontist.

Can all teeth undergo root end surgery?

Not all teeth are suitable for an apicoectomy. The dentist will assess the tooth's condition, including the extent of the infection and the structure of the root, to determine if the procedure is appropriate.

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