At Ashtead Dental, we offer advanced apicoectomy procedures for patients who experience persistent infection or inflammation at the tip of a tooth root, even after root canal treatment. Also known as root-end surgery, this minor surgical procedure can help save a tooth that would otherwise require extraction.

An apicoectomy is typically recommended when a root canal has not fully resolved the problem, and conventional retreatment is not possible or has already failed. During the procedure, we gently lift the gum to access the affected area, remove the infected tissue along with the tip of the root, and seal the root end with a biocompatible material. The area is then closed and allowed to heal naturally.

When is an apicoectomy needed?

This procedure may be considered if:

• Infection remains or returns after root canal treatment
• There are complex root structures or blockages preventing retreatment
• A previous root canal has fractured or is leaking
• Cysts or lesions are present near the root tip

What to expect during treatment

Root-end surgery is carried out under local anaesthetic and is generally well tolerated. We use digital imaging and magnification to plan the procedure with precision and minimise impact on surrounding tissue. The appointment typically lasts one to two hours, and most patients return to normal activities within a few days.

Post-surgery, some mild swelling or discomfort is expected, but this is manageable with routine aftercare and pain relief. Full healing occurs over several months, with follow-up visits to monitor progress.

Why choose Ashtead Dental for apicoectomy

Our team is experienced in complex endodontic care and takes a conservative, tooth-saving approach whenever possible. We combine surgical skill with advanced diagnostics and gentle patient care to ensure the highest chance of long-term success. Every case is carefully assessed to ensure that surgery is appropriate and beneficial for your specific situation.

If you are experiencing persistent symptoms after a root canal, we can help. An apicoectomy may offer the best option to retain your natural tooth and resolve ongoing infection.

Book your consultation at Ashtead Dental today. Call us or visit our website to learn more about root-end surgery and whether it’s the right step for you.