The last resort for unhealthy teeth: apicectomy

Apicectomy is a way of saving unhealthy teeth in cases where root canal retreatment is unsuccessful.

Dr Mehl uses a microscope to perform the procedure. First of all the entire area is numbed using local anaesthesia, and phobic patients can opt for sedation or general anaesthetic.

Apicectomy: what happens during treatment?

In this procedure a tiny cut is made into the gum through which we remove the inflammation (or the cyst if one exists) and the last three millimetres of the root. The tip of the infected root canal is sealed using biological cement (MTA), and in some cases larger cavities are refilled with artificial bone. The entrance area is sealed with a membrane or a gum transplant.

In micro-surgical apicectomies we remove no more than the tip of the root through a tiny passage, and bone augmentation and sealing are not required. After most surgeries the patient will not be significantly affected in their day to day life.

Apicectomy: root tip resection after failed root canal treatment

If a root canal treatment and the revision have failed, the last option to save a tooth is an apicectomy. An apicectomy is the surgical removal of the infected tip of the root. In this video Dr Mehl explains this procedure.

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