Apicoectomy or Surgical Endodontics is a minor surgical procedure to remove the infected tips of the roots and to clean the surrounding infected bone of a root canal treated tooth.
Surgical Endodontic procedure is suggested when the RCT or Root Canal Treatment (and re-treatment) has failed to clear the infection around the tooth root.
During the procedure, access is established to the root tips through gums. Root tips are removed and the canals are sealed from the side of the remaining root tip. The infected tissues around the roots are removed; the site is thoroughly irrigated to clear the debris and cleaned to encourage healing of the surrounding bone.
Bone grafting might be required in cases of considerable bone destruction around the root tips.