What is Apicoetomy?

What is Apicoetomy?

Appendectomy, also known as root-end surgery, is a dental procedure that involves removing the tip of a tooth's root and filling the area with a filling material. This procedure is usually performed when there is an infection or inflammation at the end of the tooth's root, which is caused by either gum disease, repeated dental procedures, or trauma to the tooth.

The main goal of appendectomy is to remove the infected tissue and save the tooth, thereby avoiding the need for a tooth extraction. The procedure is typically performed under local anaesthesia, but in some cases, general anaesthesia  may be required.

Before the Procedure:

Before undergoing appendectomy, the patient will have a comprehensive dental exam, including X-rays and a CT scan to determine the extent of the infection. The dentist will also discuss the patient's medical history, including any allergies or medical conditions, to ensure that the procedure is safe to perform.

During the Procedure:

The appendectomy procedure is typically performed in two stages. The first stage involves making an incision in the gum tissue to expose the infected area of the tooth. Once the affected area is visible, the dentist will remove the infected tissue and any necrotic bone.

In the second stage of the procedure, the dentist will prepare the tooth for the filling material by removing the infected root tip and reshaping the end of the root. A filling material, such as gutta- percha, is then placed into the prepared area, and the incision in the gum tissue is closed with sutures.

After the Procedure

After the appendectomy procedure, the patient will need to take pain medication as prescribed by the dentist. It is important to avoid crunching or biting on the treated tooth for the first few days following the procedure. The patient should also avoid eating hard or crunchy foods for several weeks to allow the gum tissue to heal properly.

The patient will need to return to the dentist for a follow-up appointment within a few weeks of the procedure to ensure that the healing process is progressing as expected. The dentist may also prescribe antibiotics to help prevent infection.

Benefits of Appendectomy:

Appendectomy is an effective way to save a damaged or infected tooth and prevent the need for a tooth extraction. By removing the infected tissue and filling the area with a filling material, the dentist can effectively eliminate the source of the infection and prevent further damage to the tooth.

In addition, appendectomy can improve the patient's overall oral health by reducing the risk of infection spreading to other parts of the mouth. The procedure can also help prevent the need for more extensive and costly dental procedures in the future, such as a dental implant or bridge.

Risks and Complications:

As with any dental procedure, appendectomy carries a risk of complications, including infection, nerve damage, or tooth loss. However, these complications are rare, and the vast majority of patients experience a successful outcome following appendectomy.

It is important to discuss any concerns about the procedure with the dentist before undergoing apicoectomy, including the risk of complications and any potential side effects. The dentist can provide more information about the procedure and help the patient make an informed decision about whether apicoectomy is the right choice for their specific situation.

Apicoectomy costs:

The cost of an apicoectomy varies depending on several factors such as the location of the dental practice, the experience of the dentist, and the complexity of the procedure. On average, the cost can range from $1000 to $3000 in the United States, but it can be higher in some regions or for highly specialized practices. In some cases, insurance may cover part of the cost, but this also varies depending on the specific insurance policy.

It is important to note that while an appendectomy can be more expensive than a routine root canal treatment, it may be necessary to save a tooth that would otherwise need to be extracted. In addition, the procedure may also prevent the spread of infection to other teeth and surrounding tissues.


Q1: What is the purpose of apicoectomy?

  • Ans: The purpose of an apicoectomy is to remove infected or inflamed tissue from the tip (apex) of a tooth's root and to prevent future infection. It is a surgical procedure performed to save a tooth that has a damaged or infected root canal filling and is used as a last resort when other endodontic treatments have failed.

Q2: What is the difference between a root canal and an apicoectomy?

  • Ans: A root canal is a dental procedure used to remove the infected or damaged pulpal tissue inside a tooth. The pulp is the inner part of the tooth that contains nerves and blood vessels. Once the infected or damaged tissue is removed, the interior of the tooth is cleaned, disinfected, and filled with a material to prevent future infections.
  • An apicoectomy, also known as endodontic microsurgery, is a specialized procedure used to remove the infected or inflamed tissue from the tip of the tooth's root. This procedure is performed when a root canal has failed to treat the infection, or if there is a persistent infection at the end of the root. An apicoectomy involves making a small incision in the gum to access the affected root, removing the damaged tissue, and sealing the end of the root to prevent re infection.

Q3: How long can an apicoectomy last?

  • The longevity of an appendectomy procedure can vary, but it typically lasts a long time if successful. The success rate of apicoectomy ranges from 85-95%, with the majority of patients reporting good results several years after the procedure. However, some factors such as improper healing, developing new decay, and re-infection can shorten the longevity of the procedure. It's important to follow proper oral hygiene practices and have regular dental checkups to ensure the longevity of the procedure.


  • In conclusion, appendectomy is a safe and effective procedure for treating infected or damaged teeth. By removing the infected tissue and filling the area with a filling material, the dentist can save the tooth and improve the patient's overall oral health. If you are experiencing symptoms of an infected or damaged tooth, it is important to see a dentist as soon as possible to determine the best course of treatment.




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