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Apical Surgery / Apicoectomy

Sometimes it is appropriate to consider retreating failing root canal treatment surgically from the root-end instead of retreating through the crown of the tooth. This is referred to as apical surgery, sometimes referred to as "apicoectomy". Indications for apical surgery include:


  1. Persistent, well established infections or cysts,
  2. Cases where retreatment could have undesirable consequences,
  3. Infected canal spaces that are only accessible with surgery.

During apical surgery, the infection is accessed through an incision in the gums. The infected tissue is removed and sent to a pathology laboratory for evaluation. The tip of the root (the apex) is removed which usually contains the source of the problem. A small tunnel is carefully prepared in the root canal and a root-end filling is placed. The gums tissue is closed with sutures which are removed in 3-6 days. With the source of the infection removed the bone can heal.


Historically, success with apicoectomy was unpredictable. However, advances in both diagnosis and the surgical techniques, including microscopic visualization and ultrasonic instrumentation, have tremendously increased surgical precision. This has resulted in better success rates than were previously possible.

25261 Paseo De Valencia, Suite 3
Laguna Hills, CA 92637

(949) 581-8890
(949) 581-3902

Saddleback Valley Endodontics consists of several separate, individual professional corporations practicing in a shared expense environment. Providing endodontic care, including root canal therapy, retreatment, apicoectomy, and management of cracked teeth and traumatic dental injuries, in the following cities and surrounding areas: Laguna Hills, Laguna Woods, Mission Viejo, Aliso Viejo, Laguna Niguel, Lake Forest, San Juan Capistrano, Laguna Beach, Ladera Ranch, Dana Point, San Clemente, Santa Margarita, Coto De Caza, Trabuco Canyon, Foothill Ranch, Irvine, Newport Beach, Tustin and surrounding areas.