Apicoectomy

Apicoectomy is a surgical endodontic procedure in which the apical portion of a tooth root is resected, followed by removal of periapical pathology and retrograde sealing of the root canal, when conventional root canal treatment has failed or is not feasible.

Indications

• Persistent periapical infection after root canal therapy
• Obstructed canals (calcification, broken instrument, post)
• Apical cyst or granuloma not resolving with RCT
• Overfilled root canal with persistent symptoms
• Root perforation near apex

Advantages

• Eliminates persistent apical infection
• Preserves natural tooth
• High success when properly indicated
• Immediate removal of periapical pathology

Success Rate

• Approximately 80–90% with modern microsurgical techniques


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