Teeth are held in place by a root that is integrated into the jaw bone. The end or top of every root is called apex. Nerves and blood vessels come into the tooth over it.
Surgical procedure which assumes the removal of the apex together with the infected tissue on it is called Apicoectomy.
Apicoectomy is a safe procedure. It is almost always successful and after the completion the root canal is filled with biocompatable material.
The whole procedure is consisted od a few phases.The first phase is the cut. There are different methods of this surgery, so the localisation of this cut will depend on the method. When the cut is made, mucous and the surface part of the bone are lifted, the bone is gradually removed in order to give access to the root top and the infected part which is then removed. Remains of infected tissue could lead to recurrence. Afterwards, the root is shortened and then it’s canal is filled by which the root is hermetically sealed. The filling is done through the tooth’s crown. In some cases, it has to be done through the top of the root. When all parts of the procedure are completed, the place of the cut is stitched.
Your dentist will prescribe any medicine you might need. Rest is recommended.