Tooth extraction
A stable, safe, and long-term solution for tooth replacement, with a treatment plan tailored to your smile.
Root end resection (apicoectomy)
Surgical procedure that removes the affected root tip and surrounding inflammatory tissue when the problem cannot be resolved with a conventional approach through the root canal.
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When is apicoectomy recommended?
Apicoectomy is most commonly considered for teeth that have already had endodontic treatment, but inflammation around the root apex still exists or cannot be accessed through the root canal itself.
It can be an option if:
It can be an option if:
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There is a permanent inflammatory lesion at the root apex.
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Previous endodontic treatment did not lead to healing.
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retreatment through the dental crown is not possible or not recommended
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There is an obstacle in the canal that prevents access
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the tooth has a prosthetic restoration whose removal would present an additional risk
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It is estimated that after the procedure, the tooth has a realistic chance of being preserved.
What is an apicoectomy?
Apicoectomy or root-end resection is a procedure in which the area around the root of the tooth is accessed through the gum.
Inflammatory tissue and a small tip of the root are removed, and the end of the root canal is additionally treated as needed.
The goal is to eliminate the source of the problem and try to preserve the natural tooth when conventional root canal retreatment is not sufficient or feasible.
Inflammatory tissue and a small tip of the root are removed, and the end of the root canal is additionally treated as needed.
The goal is to eliminate the source of the problem and try to preserve the natural tooth when conventional root canal retreatment is not sufficient or feasible.
Revision or apicoectomy?
In the case of a problem with a previously treated tooth, it is often first evaluated whether the root canal can be retreated through the tooth itself.
Root canal retreatment allows for the entire canal system to be cleaned again, while apicoectomy approaches the problem surgically through the area around the root apex.
Which approach is more appropriate depends on the cause of the inflammation, the existing root canal filling, the prosthetic work, the tooth anatomy, and its overall prognosis.
Root canal retreatment allows for the entire canal system to be cleaned again, while apicoectomy approaches the problem surgically through the area around the root apex.
Which approach is more appropriate depends on the cause of the inflammation, the existing root canal filling, the prosthetic work, the tooth anatomy, and its overall prognosis.
DC360 PROCESS
What does an apicoectomy look like?
01
Review and record
We are evaluating the previous treatment, the condition of the root, and the change in the surrounding bone.
02
Procedure planning
We explain why the surgical approach is recommended and what the possible alternatives are.
03
Local anesthesia
The area of intervention is anesthetized.
04
Access to the root apex
The inflamed area and the root tip are accessed through the gums.
05
Reverting changes and closing
The affected tissue and part of the root tip are removed, and the area is treated. The wound is closed with sutures, and healing is monitored with follow-up examinations.
Advantages
The standard we set
PRICE
What affects the price of apicoectomy?
The price depends on the position of the tooth, root anatomy, extent of the lesion, and complexity of the procedure.
After the examination, we will explain the recommended therapy and expected costs.
Get to know us
A team dedicated to every smile
Marta Šeparović
founder and director
Ana Lucija Perković
Doctor of Dental Medicine
Ivana Jukić
Doctor of Dental Medicine
Ivana Župić
Dental assistant
FAQ
Frequently asked questions
Is there anything else you are interested in? Contact us and we will get back to you shortly.
Apicoectomy is a surgical procedure that removes the tip of the tooth root and the surrounding inflamed tissue.
It can be recommended when inflammation around the root apex persists after endodontic treatment, and conventional revision is not possible or is not the best option.
The procedure is most commonly performed under local anesthesia. Swelling, tenderness, or discomfort may occur after the procedure.
Initial soft tissue healing takes less time than bone healing around the root. The recovery process depends on the extent of the procedure and the individual condition.
The prognosis depends on the cause of the problem, the quality of previous treatment, the condition of the tooth, roots, and surrounding tissue. It is not possible to guarantee the result in advance.
After healing, the goal is to keep the tooth in function, provided that its structure, bite, and surrounding tissues are stable.
If the tooth has a favorable prognosis, apicoectomy can be an option for preserving it. If the tooth is severely weakened or there are other unfavorable factors, extraction may be considered.
In addition to clinical check-ups, follow-up X-rays are used as needed to evaluate the healing of the area around the root.
Explore more
Related services
Root canal treatment (endodontics)
A stable, safe, and long-term solution for tooth replacement, with a treatment plan tailored to your smile.
Root canal retreatment
A stable, safe, and long-term solution for tooth replacement, with a treatment plan tailored to your smile.
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