Apical Surgery

Apical surgery (apicoectomy) is a small surgical procedure that saves a tooth when an infection at the tip of the root doesn't heal after root canal treatment. Instead of extracting the tooth, the surgeon removes the infected tip of the root and the inflamed tissue around it, and seals the end of the root canal from the outside.

When it's needed

Most infections at the root tip heal after root canal treatment or retreatment. Sometimes they don't: the canal may have a shape that can't be fully cleaned, there may be a cyst at the root tip, or the tooth may already carry a crown and post that make retreatment through the crown impractical. In these cases apical surgery is the alternative to extraction.

How it's done at M Clinic

The procedure is planned on a 3D CBCT scan, which shows the exact size of the lesion and its position relative to the nerve or sinus. Under local anaesthetic, the surgeon opens a small window in the gum and bone over the root tip, removes the infected tissue and the last few millimetres of the root, seals the canal, and closes the gum with stitches. The bone then heals over the following months, and the tooth stays.

Apical surgery is performed by maxillofacial surgeon Giorgi Rakviashvili and surgeon Nukri Rogava.

Price

The starting price for apical surgery is shown above and is confirmed after the 3D scan, depending on the tooth and the size of the lesion.

Book a consultation or message us on WhatsApp if you've been told a treated tooth has to come out.