Apicoectomy is a procedure performed when an infection develops in the tooth or persists in the tooth even after a root canal or antibiotic treatment. These infections usually do not show any symptoms, however there may be episodes of swelling, gum boils or a bad taste. If left untreated the infection is very likely to develop into a cyst.
Apicoectomy involves cleaning the infection from the bone, removing a small portion of the tip of the root and sealing the root with a small filling. This procedure is performed under general anesthesia. During the procedure a small cut is made in the gum over the root of the tooth and then the gum is lifted off the bone. The area of infection is exposed by removing a small amount of bone with a dental drill. Any infection is thoroughly cleaned from the tip of the root and 2-3 mm of the root tip is removed. The root is then sealed with small fillings. Finally, the gum is stitched back with the help of dissolvable stitches. The procedure takes about 30 minutes to complete.
There may be a slight risk of bleeding after the surgery. There may also be a numb feeling in the operative site which disappears in a few months.