Endodontic surgery, also known as apical surgery or root-end surgery, is a dental procedure performed to treat certain conditions affecting the root tip (apex) of a tooth. It is typically done when conventional root canal treatment is not sufficient to address the problem or when the tooth has not responded well to previous treatment.

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During endodontic surgery, the surgeon accesses the root tip by making a small incision in the gum tissue near the affected tooth. The surrounding bone may be carefully removed to access the root tip and any infected or damaged tissue. The tip of the root is then examined and treated. This may involve removing the root tip (apicoectomy), removing cysts or granulomas, and sealing the end of the root with a dental filling.

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Endodontic surgery is typically performed using local anesthesia to ensure the patient's comfort. It is considered a minor surgical procedure and is usually completed within one appointment.

 

The goal of endodontic surgery is to eliminate infection, promote healing, and save the natural tooth. It is often recommended as a last resort when other non-surgical treatments have not been successful. Endodontic surgery can help preserve the tooth and prevent the need for extraction, allowing the patient to retain their natural tooth structure and function.