In most cases, a root canal treatment is all that’s needed to save an infected tooth. But occasionally, infection persists at the root tip even after a root canal — and that’s where endodontic surgery comes in.
At Enhance Dental Centre, our team is trained to perform endodontic surgical procedures that go the extra mile to save teeth that might otherwise be lost. We use advanced imaging and microsurgical techniques to ensure precision and the best possible outcomes.
Endodontic surgery — most commonly an apicoectomy (root end surgery) — is a microsurgical procedure performed when:
During an apicoectomy, your dentist makes a small incision in the gum to access the root tip, removes the infected tissue and the very end of the root, and places a small filling to seal the root end. The gum is then sutured and healing begins.
The procedure is performed under local anaesthesia and most patients are surprised by how manageable it is.
Some swelling and discomfort are normal for a few days after the procedure. Most patients take 1–2 days off to rest and recover. You’ll be given detailed aftercare instructions and follow-up appointments to monitor healing.
Saving your natural tooth is always our first priority. Your natural tooth’s root is anchored in bone in a way that implants mimic but can’t fully replicate. Preserving it maintains bone density, tooth position, and the structural integrity of your jaw.
A: They’re related but different. A root canal treats the inside of the tooth from the crown. Endodontic surgery addresses problems at the root tip from outside the tooth.
A: Your dentist will typically recommend it if infection persists after root canal treatment or if there’s pathology at the root tip visible on X-rays.
A: The area is fully numbed before treatment. Post-operative discomfort is normal but manageable with medication. Most patients describe the recovery as milder than expected.
A: When performed by a skilled practitioner with proper imaging, endodontic surgery has a high success rate — around 85–95% in suitable cases.
A: Initial healing occurs within 1–2 weeks. Complete bone healing may take several months, which we monitor with follow-up X-rays.
