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Root end surgery, also known as apicoectomy, is an endodontic surgical procedure. In that procedure, a tooth’s root tip as well as the surrounding infected bone are removed in an effort to eradicate a lingering infection. To finish the treatment, a root end preparation is prepared and filled with a biocompatible material.
Apicoectomy is performed when the infection (abscess) around a root canal treated tooth fails to resolve or returns after a period of time. In most cases, this treatment is performed by an oral surgeon or endodontist.
This treatment is at times necessary when the infection returns to the area around the root of a tooth treated with root canal therapy. State of the art procedures make use of microsurgical techniques, such as a dental operating microscope, microinstruments, ultrasonic preparation tips and modern filling materials.