An apicoectomy is a dental procedure where the end of a tooth root is cut off. Apico- comes from apex and -ectomy means to cut off. It is usually done on a failed root canal and is considered a minor surgical procedure done in the dental office. Fortunately, most dental and medical insurance companies help patients with this cost.

            The end of a tooth root can be very, very complex and sometimes there can be unfilled spaces in this area after a root canal. The unfilled spaces can harbor bacteria and cause a dental abscess. Fortunately, this is becoming less common with new modern techniques, however, there are many older root canals previously performed with older more irritating root canal filling materials.

            During the apicoectomy procedure the patient is thoroughly numbed and an opening is made through the bone where the end of the offending tooth root is located. The end of the root is cut off and a root end filling is usually placed. Some dentists like to place donor bone into the surgical hole made around the removed root to improve bone growth after surgery.

            Because an apicoectomy is usually done on a failed root canal, there is a chance that the surgery will not work since this tooth already had serious problems. Many dentists are not comfortable doing it because of the higher failure rate and the fact that another dentist usually performed the failed root canal. However, there is about a 5% failure rate with all root canals, even if performed correctly. If you would like to consult with Dr. Padolsky, make an appointment at 404-874-7428 to discuss your specific apicoectomy procedure.