About Apicoectomy

A relatively small number of teeth will not respond to routine endodontic treatment or re-treatment. These teeth can often be treated successfully through a surgical procedure called an apicoectomy.

What is an apicoectomy?

The term apicoectomy refers to the removal of the apex (end) of the root. More importantly it includes the sealing of the root end with a material called MTA (mineral trioxide aggregate). This procedure is performed under an operating microscope.

Dr. Richard Bush,
Dr. Wesley Reed,
Dr. Steven Forgione
Dr. Timothy Gresla and
Dr. Deborah E. Tung are endodontists in the areas of Winchester, MA and Burlington, MA.
They specialize in endodontic treatment, apicoectomy and the treatment of teeth injuries, utilizing the latest in dental technology.

The diagram on the right illustrates this simple procedure.

Local anesthesia is used to achieve total comfort.

An incision is made in the gum tissue to expose the bone and surrounding inflamed tissue.

The root tip is removed and the infected area is cleaned out.

A root end filling is placed to prevent re-infection.

Sutures are placed and then are removed in 2-3 days.

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