Apicoectomy is an Endodontic surgical procedure whereby a tooth’s root tip is removed and a root end cavity is prepared and filled with a biocompatible material. Surgery is performed using a microscope and hence is also called endodontic microsurgery.
This is usually necessitated when a conventional root canal therapy had failed and a re-treatment was already unsuccessful or is not advised. State-of-the-art procedures make use of microsurgical techniques, such as a dental operating microscope, micro instruments, ultrasonic preparation tips and calcium-silicate based filling materials.
Removal of the root tip is indicated to remove the entire apical delta ensuring no uncleaned missed anatomy.