While root canal treatment has a high degree of success on occasions surgery may be necessary. If inflammation or infection persists in the area around the end of the tooth a minor surgical procedure called apicectomy may be recommended. The aim of an apicectomy is to remove the inflamed tissue and infection to save the tooth.
The procedure involves making an opening in the gum tissue adjacent to the tooth. The inflamed tissue is curetted and the end of the root is usually removed. Occasionally a small filling is placed to seal the end of the root. At the completion of the procedure several stitches are placed to close the wound and aid in the healing process.
Over the next few months the bone heals around the end of the root and an x ray will be taken after approximately 6 months to ensure healing is occurring.