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An apicoectomy is a minor dental surgery that removes the tip of a tooth's root, called the apex. It’s often a follow-up procedure after a failed root canal when you still have tooth pain.
Your dentist may recommend an apicoectomy if you have:1
Apicoectomies are highly effective procedures, with around an 81% success rate after three years.2
A traditional root canal treats the infected tooth from the top of the tooth, whereas an apicoectomy is a small surgical procedure at the tip of the root, or apex, of the tooth.
A root canal will treat a tooth with deep tooth decay or trauma. The dentist will clean and disinfect the canals and seal the tooth from bacteria.
An apicoectomy will remove a small piece of the root tip and clean any infected root tissue. It’s typically a follow-up procedure to a failed root canal.
A typical apicoectomy procedure follows the following steps:
Typically an apicoectomy should take 30 to 90 minutes, depending on the severity of the infection and the tooth treated.
It’s normal and expected to experience mild pain, swelling, bleeding, or numbness after an apicoectomy. Most people can resume regular activities the next day.
You can typically manage any pain with over-the-counter or prescription pain medication. You can also use ice packs on the surgical site for up to 12 hours to minimize swelling. Some endodontists will give an antibiotic if there was a significant infection.
You should follow your dentist’s post-surgical instructions and avoid the following to prevent infection at the surgical site:
Your diet following an apicoectomy should consist of softer foods for the first few days to avoid disturbance of the surgical site.
Good food options include:
Avoid eating hard or crunchy foods or drinking any hot beverage that may cause discomfort.
The cost of an apicoectomy varies depending on the tooth being treated, the endodontist treating you, your location, and your dental insurance coverage.
Typically, the procedure will cost $1,000 to $,1500 without dental insurance.
An apicoectomy procedure is costly, but compared to a dental extraction and tooth replacement, it is an exceptional solution to restore your dental health.
An apicoectomy is a minor dental surgery that removes the tip of the root, or apex, of the tooth. It’s often a follow-up procedure when a root canal fails to resolve a toothache or infection.
The cost of an apicoectomy depends on several factors but usually ranges between $1,000 and $1,500 without insurance. The procedure takes between 30 and 90 minutes and shouldn’t be more painful than a root canal.
During recovery from an apicoectomy, you should eat softer foods and avoid vigorous brushing and rinsing. You may have minor pain, swelling, or bleeding after the procedure, but most people resume full activity the following day.
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