Examination and diagnosis
The doctor checks the condition of the tooth, evaluates prior root canal treatment, and orders appropriate X-rays
APICAL SURGERY
Apex-area intervention to support tooth preservation
Apical surgery is considered when periapical lesions persist after root canal treatment, or when coronal retreatment is unsuitable or difficult to perform. Book an appointment so the doctor can assess your condition and advise on a suitable treatment plan.
45–90 minutes
1
Periapical lesions that persist after root canal treatment
2
Root anatomy or existing restorations that make coronal retreatment difficult to perform
Who is suitable? Who needs a thorough examination first?
Suitable candidates
May be considered when
The tooth remains restorable and worth preserving- The remaining periodontal and dental tissue meets treatment conditions
- Periapical lesions persist after root canal treatment
- Coronal retreatment is difficult to perform or risks affecting an existing restoration
Patients requiring special consideration
Needs a thorough examination and assessment for
Women who are pregnant- People with uncontrolled systemic conditions
- People taking anticoagulant medication, or medication affecting bone metabolism
- People with a history of allergies to medications or dental materials
- People currently experiencing acute infection or mucosal injury
- People with periodontal disease that has not been stabilized
Related methods, materials, and technology
Related methods, materials
Apical surgery
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The surgery treats one or more root apices depending on the location of the lesion
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The retrograde root-end filling material is selected as indicated
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X-ray imaging supports assessment of the periapical lesion and the quality of prior root canal treatment
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A Piezotome may assist with hard-tissue procedures in suitable cases
Technology
Infection control
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X-ray equipment is used to support diagnosis. A Piezotome ultrasonic device may be considered by the doctor to assist with bone-related procedures, depending on indication — not every case defaults to using a Piezotome
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Reusable instruments are collected via a one-way flow, cleaned, packaged, sterilized, and stored before being used in treatment. Chair surfaces and contact areas are cleaned between patients. Single-use supplies are replaced for each case
Treatment process
Consultation and anesthesia
The treatment plan is explained, and anesthesia is administered before surgery
Accessing the affected area
The gum flap is raised to access the bone area around the apex
Treating the lesion
Diseased tissue and the portion of the root apex requiring treatment are removed
Treating the root end
The root end is prepared and retrograde-filled with a suitable material when indicated
Completing the surgery
The surgical area is cleaned, bleeding is controlled, the gum flap is repositioned, and the wound is sutured
Instructions and follow-up
Care and medication instructions are provided, along with a healing check-up appointment
Service
Cost
Apicoectomyl of 1 root
$65
Apicoectomy of 2 roots
$110
Apicoectomy of 3 roots
$155
Post-treatment care instructions
Biting on gauze and cold compress
Follow the doctor’s instructions and apply a cold compress to the outside of the face on the first day
Eat gently
Prioritize soft foods and avoid putting pressure on the surgical area
Take medication as directed
Take all prescribed medication and return for follow-up visits and suture removal on schedule
Warranty and follow-up
After apical surgery, the tooth needs to be monitored through clinical examination and X-rays according to the doctor’s schedule. The likelihood of preservation depends on the endodontic condition, extent of damage, quality of restoration, periodontal health, and each individual’s healing process. For this reason, tooth preservation cannot be guaranteed in every case.
Patients should keep their records, invoices, and warranty card if available, and should return for follow-up visits as scheduled so the doctor can monitor recovery and address any signs of abnormality at an early stage. The warranty policy is applied in accordance with current regulations and the conditions of each individual service or material.
Warranty
