In instances where non-surgical root canal therapy does not heal a patient’s tooth, endodontic surgery becomes necessary. The surgery involves locating the fracture or the hidden canal that may not appear on x-rays, and to treat the damage to the root surfaces or the surrounding bone. The most common surgical therapy is called Apicoectomy or root-end resection.
Apicocetomy refers to the procedure that edodontists use to open the gum tissue around the tooth to examine the underlying bone and to remove any infected or inflamed tissue. Subsequently, a small root-end filling is placed in the root in order to seal the end of the root canal, and then gum is sutured or stitched to help the tissue heal. The healing process may take a few months.