### What is an Apicoectomy? An apicoectomy is a minor dental procedure often performed to save a tooth. It involves removing inflamed gum tissue and the end of the tooth root, while leaving the top of the tooth intact. This procedure is also known as root-end resection. ### Why is it Done? An apicoectomy is usually performed after a root canal treatment if the tooth does not heal properly or becomes reinfected. It can also be used to treat tooth injuries, especially in children. ### The Procedure 1. **Preparation**: X-rays of your teeth and jaw may be taken to understand the condition of the root and surrounding tissues. 2. **Anesthesia**: A numbing cream and a needle will be used to numb the area. 3. **Surgery**: A small cut is made in the gums to access the bone and remove infected tissue. If needed, the end of the root is also removed and the root canal is sealed. 4. **Stitches**: Stitches are placed to help the gums heal. ### Recovery - **Discomfort**: Minimal discomfort is expected. You can usually drive home and resume normal activities the next day. - **Bleeding**: Minor bleeding is normal and should stop within 1-2 hours. Rest with your head elevated to slow blood flow. - **Pain Management**: Use anti-inflammatories like ibuprofen. Antibiotics may be prescribed if there is an infection. - **Oral Care**: Brush and floss as usual, avoiding the stitched area. After 24 hours, rinse your mouth with warm salt water to keep the area clean. ### Risks and Benefits - **Benefits**: The procedure can save a tooth that might otherwise need to be pulled. Studies show high success rates, with many apicoectomies lasting for years. - **Risks**: Not suitable if the root is fused or the tooth is beyond repair. In such cases, the tooth may need to be extracted. ### Conclusion An apicoectomy is a minor but effective procedure to save a tooth. Consult your dentist to see if this treatment is right for you.