Apicectomy: what happens and how much does it cost?

An apicectomy, also called root-end surgery, removes the tip of a tooth root and infected tissue around it. It may help preserve a tooth when infection persists after root canal treatment. Whether it is suitable depends on the condition of the tooth and the treatment already carried out.

When might you need an apicectomy?

A dentist will assess the tooth and its X-rays before recommending surgery. Repeating root canal treatment may be an alternative, particularly if the canals can be cleaned and sealed again. Surgery may be considered when this is unlikely to work or has already been unsuccessful. Extraction is another option if the tooth cannot be retained.

The aim is to keep a useful tooth, but surgery cannot guarantee this. Ask your dentist how the options compare in your case, including the likely outcome and any further treatment. Leeds Teaching Hospitals explains the reasons for apical surgery and its alternatives.

What happens during treatment?

The area is usually numbed with a local anaesthetic. The dentist opens the gum to reach the root tip, removes the affected tissue and the end of the root, and places a small filling to seal the root end. The gum is then stitched back into position. The time needed varies with the tooth and the complexity of the procedure.

Recovery and possible complications

Some discomfort, swelling and bruising can occur afterwards. Follow the instructions from your treating team about pain relief, cleaning, eating and follow-up appointments. Contact them if pain or swelling is worsening, you develop a fever or bleeding does not settle.

Risks include infection, gum recession and persistent or recurrent infection that may mean the tooth still needs to be removed. Depending on the position of the tooth, nearby nerves or the sinus may also need to be considered. Your dentist should explain the risks that apply to you before treatment. Gloucestershire Hospitals provides further information about apicectomy and aftercare.

How much does an apicectomy cost?

The listed fee for root-end resection at Medical Dent is from £220. Ask for a written treatment plan explaining the total cost and whether assessment, imaging or any additional treatment is charged separately.

If you are considering finance, read the current finance information and eligibility requirements. You can contact the practice to arrange an assessment and discuss the options for your tooth.