Advanced Surgical Care to Save Your Natural Tooth
What Is an Apicoectomy (Root-End Surgery)?
When a traditional root canal isn’t enough to resolve a persistent infection or inflammation, your endodontist may recommend an apicoectomy—a type of microsurgery that treats the problem at the tip of the root (the apex). This approach allows us to remove infected tissue and seal the root from below when retreatment through the crown isn’t possible or advisable.
Apicoectomy may be the best option in cases of:
- Recurrent or chronic infections
- Root fractures or blocked canals
- Persistent cysts or inflammation
- Previous root canal failures
How Apicoectomy Surgery Works
During the procedure, your endodontist will:
- Make a small incision in the gums to access the root tip
- Remove the infected or inflamed tissue
- Trim and clean the root tip
- Place a small root-end filling to seal the canal
- Close the area with a few sutures
Your body will then begin to heal, and new bone will naturally regenerate around the treated root. Any removed tissue is typically sent to a pathology lab for evaluation.
What Is Endodontic Microsurgery?
Microsurgery is a broader term that includes apicoectomies and other surgical procedures used in endodontics. It’s often recommended when previous root canal treatments have failed or when the problem can’t be identified or treated with conventional methods. In some cases, it’s also used to remove calcium deposits, repair damaged roots, or treat areas that aren’t visible in X-rays.
Microsurgical Tools & Techniques
Our endodontists use advanced tools and technology to ensure optimal results:
- Dental microscopes for enhanced visibility
- Ultrasonic instruments for precision treatment
- Micro-surgical tools to navigate tight or complex areas
These technologies help us diagnose and treat at a highly detailed level—dramatically improving comfort, precision, and long-term success.
You’re in Expert Hands
At Knoxville Endodontics, we’ve helped patients preserve their natural teeth through apicoectomy and microsurgery for decades. Thanks to modern advancements in technique and technology, the success rates of these procedures are higher than ever. If you’re experiencing pain from a previously treated tooth or have been referred for surgical endodontic treatment, we’re here to help.