Apicoectomy in Varna
Medically reviewed by Dr. Iva Yordanova, specialist in prosthodontics ·
Apical surgery, also known as apicoectomy or root-end resection, is a microsurgical procedure in which the tip of the root and the inflamed tissue around it are removed and the root canal is then sealed from the end. It is used when infection persists despite root canal treatment or retreatment – and is often the last chance to keep the tooth rather than extract it.
When is an apicoectomy needed?
The procedure is not a first choice but a solution for specific situations:
- Persistent infection around the root tip despite root canal treatment
- Retreatment is not possible – for example with a post or crown whose removal would endanger the tooth
- A cyst or granuloma around the root tip
- Anatomical features of the root canal that cannot be reached conventionally
How the procedure works
An apicoectomy is carried out under local anaesthesia. After access is gained to the area around the root tip, the inflamed tissue and the last few millimetres of the root are removed, and the canal is sealed from the end. Working on such a small scale requires good visibility and precision – which is why modern apical surgery is performed under magnification.
Apicoectomy or extraction?
When the tooth is stable and has enough healthy structure, an apicoectomy makes it possible to keep it – with its own root, its connection to the bone and a natural feel when chewing. Extraction remains an option when the tooth cannot be reliably restored or the infection has affected too much of the supporting bone.
Sometimes a few millimetres are decisive — apical surgery lets us reach the problem directly and gives the tooth another chance.
Frequently Asked Questions
Does an apicoectomy hurt?
The procedure itself is carried out under local anaesthesia and is painless. After it wears off, moderate discomfort and swelling are possible for a few days, managed with the prescribed painkillers and a cold compress.
What is the difference between an apicoectomy and root canal retreatment?
Retreatment works through the inside of the tooth – the old filling is removed and the canals are treated again. An apicoectomy reaches the problem from the outside, through the bone, and removes the root tip. Retreatment is usually considered first.
Will I keep the tooth after the procedure?
That is precisely the aim of the procedure. The prognosis depends on the condition of the tooth, the amount of supporting bone and the quality of the root canal treatment. This is assessed after a clinical examination and X-ray diagnostics.