Apical resection, also known as apicoectomy, is a surgical
procedure performed in cases where conventional root canal
treatment is inadequate. If there are persistent infections,
cysts, or inflammatory lesions at the tip of the tooth root,
these structures are surgically removed and the root apex is
sealed with a special filling material.
The apical resection procedure performed at Dentaktif is
considered the last salvage step before tooth extraction and
aims to preserve the natural tooth.
Presence of infection that does not heal despite root canal
treatment
Failure of previous root canal treatment
Inability to perform complete root canal treatment due to
anatomical reasons
Presence of cystic or chronically inflammatory structures at
the root tip
Risk of infection around the root spreading to neighboring
teeth
How is Apical Resection Performed?
The procedure is usually completed under local anesthesia and is
painless, taking approximately 20–30 minutes:
A small incision is made on the gum.
The root tip is reached and the infected or cystic tissue is
removed.
A portion of the root tip is cut off.
The end of the canal is closed with a special biocompatible
filling material (retrograde filling).
The surgical area is cleaned and stitched.
The stitches are removed after approximately 1 week.
After the procedure, mild pain, swelling or bruising may occur;
these symptoms are temporary and can be easily managed under the
supervision of a physician.
Things to Consider After Apical Resection
Hot foods and intense chewing should be avoided for the
first 24 hours.
Smoking and alcohol should not be consumed.
Medicines recommended by the doctor should be taken
regularly and check-ups should not be neglected.
Any movements that may traumatize the affected area should
be avoided until the stitches are removed.
What are the advantages of apical resection?
It protects the natural tooth by preventing tooth
extraction.
It provides recovery without the need for revision of
unsuccessful root canal treatments.
It prevents the cyst or chronic infection from spreading to
other teeth.
Aesthetically, the natural appearance is preserved, chewing
and speaking functions are not affected.
