Apicoectomy (Root End Surgery): Everything You Need to Know

Apicoectomy is a minor surgical procedure that removes the tip of a tooth root and surrounding infected tissue, saving teeth when root canal retreatment is not possible.

Duration: 45–90 minutes
Recovery: 1–2 weeks; mild swelling for 3–5 days

What is Apicoectomy?

An apicoectomy (root-end resection) is an endodontic microsurgical procedure where the tip of the tooth root (apex) is removed along with any infected tissue. A small filling is placed at the root end to seal it. This procedure is performed when conventional root canal treatment or retreatment has failed or is not feasible.

How the Procedure Works

  1. 1

    Preoperative X-ray or CBCT

  2. 2

    Local anaesthesia

  3. 3

    Gum tissue reflection

  4. 4

    Bone removal to access root tip

  5. 5

    Root tip resection (3mm)

  6. 6

    Infected tissue removal

  7. 7

    Root-end filling placement

  8. 8

    Suturing

Apicoectomy Cost in India (2026)

CityMin Cost (₹)Max Cost (₹)
Mumbai8,00015,000
Delhi5,00012,000
Bangalore8,00015,000
Chennai5,00010,000
Kolkata4,0008,000
Hyderabad5,00010,000

Prices are approximate and vary based on clinic, dentist experience, and specific case complexity.

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Frequently Asked Questions About Apicoectomy

When is apicoectomy needed?
An apicoectomy is needed when a root canal-treated tooth still has persistent infection at the root tip, when retreatment is not possible, or when there is a root fracture or anatomical complexity preventing conventional treatment.
Is apicoectomy a last resort?
Apicoectomy is typically considered after root canal treatment and retreatment options have been exhausted. It has a success rate of 85–95% and can save a tooth that would otherwise need extraction.
How long does it take to recover from apicoectomy?
Most patients experience mild swelling and discomfort for 3–5 days. Sutures are removed after 7–10 days. Full bone healing takes 3–6 months.

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