top of page

Microsurgical endodontics

What is microsurgical endodontics?

Microsurgical endodontics is a specialized branch of endodontics that, with the help of a surgical microscope, allows surgical procedures to be performed on the root of a tooth. This type of endodontic treatment is often necessary when conventional endodontic re-treatment has not been sufficient to treat a tooth or when access to the root system is not possible in the classical way. The excellent visibility that the dental microscope offers to the endodontist allows precise and minimally invasive surgical operations. Microsurgical endodontics can be used:

1) diagnostic by identifying the existence of cracks and fractures that cannot be established by simple examination or radiographically and

2) therapeutic by removing inflamed areas and restoring them and

3) more often, by performing apicectomies.

What is an apicectomy?

An apicorhizectomy becomes necessary when a tooth does not respond well to previous endodontic treatment or retreatment is not feasible due to inability to access the root system from the crown of the tooth. During an apicectomy the endodontist makes a small incision in the gums to gain access to the tip of the root. A small portion of the tip of the root is removed, the tissues are cleaned and the root canal is filled with a biocompatible material. The gums are restored and sutured to their original position. Then we wait for the expected healing of the tooth and the full functionality and health of the tooth.

When is an apicectomy necessary?

1) Persistent Infections: Some teeth continue to develop inflammation even after one or more endodontic treatments. 

2) Complex root systems/anatomy.

3) Whenotherwise impossible to access the root system.

In our dental office, microsurgical operations are carried out in collaboration with a specialist maxillofacial surgeon and an endodontist.

bottom of page