Microsurgical root end resection (apicoectomy)

When inflammation at the root apex persists despite correct root canal treatment, the tooth can still be saved. Microsurgical root end resection removes the focus of inflammation and allows you to keep your own tooth for years.

Book an appointment

+48 577 147 039

Periapical surgery (apicoectomy) at Mabel Clinic

Free consultation

Diagnostics and a treatment plan with no obligations.

Painless treatment

Effective anesthesia and comfort at every stage of the visit.

Post-treatment care

Clear recommendations, follow-up checks, and constant contact with the clinic.

Root end resection: when is it indicated

The procedure is performed when the inflammatory lesion at the root apex persists despite root canal treatment, and re-treatment is impossible or has not brought improvement. Indications also include obstacles in the canal, such as a broken instrument or a crown-root post, the removal of which would risk damaging the tooth. Resection is then the last chance to save the tooth.

Book an appointment

Root end resection: when is it indicated

Book an appointment

Root end resection: when is it indicated

Book an appointment

How an apicoectomy is performed at Mabel Clinic

The procedure is performed under local anaesthetic, based on prior radiological diagnosis. Through a small access point in the gum, the dentist removes the inflammatory lesion along with the end portion of the root, and seals the canal tightly from the apex side using a special material. Working under magnification and using microsurgical techniques allow the scope of the procedure to be limited, and the wound usually heals quickly and comfortably.

Healing and prognosis after the procedure

For a few days after the procedure, there may be slight swelling and tenderness, which respond well to prescribed medication and cold compresses. The sutures are removed during a follow-up visit, and bone healing is monitored on subsequent X-rays. A correctly performed resection allows the tooth to be preserved for many years, avoiding its extraction and the costly restoration of a missing tooth.

Healing and prognosis after the procedure

Healing and prognosis after the procedure

Frequently Asked Questions

Does root end resection hurt?

What is the difference between an apicoectomy and repeat root canal treatment?

What are the chances of success of a root end resection?

Other treatments in this category

Composite fillings

Aesthetic restorations of carious cavities using composite material, colour-matched so that the filling is virtually invisible against the natural tooth.

Aesthetic fillings of anterior teeth

Precise, layered restoration of teeth in the smile zone, recreating the natural colour, translucency and individual shape of each tooth.

Aesthetic restoration of broken teeth

Restoration of a chipped or broken tooth with composite material, restoring its natural appearance and full function during eating and speaking.

Glass fiber posts

Strengthening of the tooth after root canal treatment with a glass fibre post, which provides a durable foundation for subsequent composite reconstruction or a crown.

Primary root canal treatment

Painless treatment of the infected tooth pulp under anaesthetic, allowing you to keep your own tooth and avoid extraction.

Root canal retreatment

Repeat, precise root canal treatment of a tooth where previous therapy did not yield the expected result or inflammation has occurred.

Periapical surgery (apicoectomy)

Microsurgical removal of an inflammatory lesion along with the root apex, performed when conventional root canal treatment is insufficient.

Endodontic treatment after trauma

Specialist root canal treatment for teeth damaged as a result of trauma, aimed at preserving the tooth and preventing complications.

Free consultation

Book a free consultation

We will analyze your situation and propose a treatment plan tailored to your needs. No obligations.

+48 577 147 039