Infections like a chronic abscess may occur in the area around the tip of the root. In most cases the cause of the problem is the nerve of the tooth which has died. Root canal treatment is the first treatment option but may not be enough to clear up the problem entirely.
An apicectomy is then indicated. The procedure can be performed under local or general anaesthetic. The gum is lifted back from the bone. The lesion will be removed with blunt scraping instruments. The root tip itself will be trimmed & sealed after which the gum will be sutured back into its original position.
Pre- & post op x-ray of tooth with apical area that received apicectomy. Successful root canal treatment prior to the surgical procedure is essential: