Apicoectomy

Apicoectomy (toot resection) – saving your tooth

When a tooth has had a root canal but still causes pain or infection at the tip of the root, it might seem like the tooth is doomed.

But here’s the good news: an apicoectomy can save it. Often called “root resection” this minor surgical procedure targets the very tip of the tooth’s root, removing infection and sealing the area to preserve your natural tooth.

At our clinic, we know the idea of dental surgery can be intimidating. But an apicoectomy is precise, minimally invasive, and highly effective—and our expert team makes sure you feel comfortable and informed every step of the way.

Why you might need an apicoectomy

When infection of the tooth root occurs, endodontic treatment is the first step in treating the infection. In most cases it is also the last step and infection disappears after it. While endodontic treatment is very successful and well performed, in some cases, infection can persist at the tip of the root due to various factors. Then we approach to the next step of treatment – apicoectomy or tooth resection.

Rather than extracting the tooth, an apicoectomy targets the problem directly, removing infection while keeping your natural tooth intact.

On the left side of the picture you see the infection on the top of the tooth.

The right side of the picture is cross section through the tooth, a year after apicoectomy. You can see complete bone healing around the cut top of the tooth.

The tooth is saved!

Step-by-Step: What Happens During an Apicoectomy or root resection

Understanding the procedure can make it much less intimidating. Here’s how a typical apicoectomy works at our clinic:

  1. Consultation & Diagnosis – Using digital X-rays or 3D imaging, our doctors identify the infected area and ensures that an apicoectomy is the best option.
  2. Local Anesthesia – The tooth and surrounding tissue are numbed. Most patients report little to no discomfort during the procedure.
  3. Accessing the Root Tip – A small incision is made in the gum near the tooth, and the infected tissue at the root tip is carefully exposed.
  4. Removal of Infection – The infected tissue and any cysts are gently removed.
  5. Sealing the Root – The tip of the root is cleaned and sealed with a biocompatible material to prevent future infection.
  6. Suturing & Healing – The gum is sutured back in place, and healing begins. Most patients recover quickly, with mild soreness that can be managed with over-the-counter pain medication.

By precisely targeting the infection at the root tip, an apicoectomy saves teeth that might otherwise need extraction, preserving your smile and bite.

Call us on +381692289229

Afraid of an Apicoectomy? Don’t Be.

Many patients feel nervous about dental surgery, but an apicoectomy is gentle, precise, and pain-free thanks to modern techniques and local anesthesia.

Our caring team ensures you stay comfortable and informed, turning a scary idea into a simple, tooth-saving procedure.

Our doctors are highly trained in endodontics and surgical procedures, with years of experience performing apicoectomies.

Beyond technical skill, the doctor brings a calm, reassuring presence, guiding patients through every step of the process.

Patient Experience: what to expect after apicoectomy

Most patients are surprised by how quick and comfortable an apicoectomy can be. Typical experiences include:

  • Local anesthesia that keeps you pain-free during the procedure and a long period after
  • Minor swelling or soreness for a few days after surgery
  • Simple aftercare instructions for optimal healing
  • A follow-up visits to ensure the tooth and gum are recovering well

Many patients are amazed at how efficient and effective modern apicoectomies are.

This is one of our patients, the second day after the apicoectomy, there was no pain and very little swelling.

Apicoectomy (tooth resection) cost

Apicoectomies in US or Western Europe can cost anywhere from $1,000 to $2,000 per tooth, depending on complexity. At our clinic, we offer the same high-quality, expert care at a fraction of the price—without cutting corners. The price, depending on the morphology of the tooth, varies from 150 euro to 400 euro

We believe that everyone deserves access to advanced dental treatment, and our pricing reflects that philosophy.

Why choose us for your apicoectomy?

  • Expertise you can trust: Our surgeons have extensive experience in endodontic surgery, including apicoectomies on complex teeth.
  • Gentle, patient-centered care: We prioritize your comfort and explain every step in plain language.
  • Modern technology: Advanced imaging, microsurgical tools, and sterilization systems ensure precision and safety.
  • Affordable, high-quality treatment: Receive the same level of care as in the U.S., at a fraction of the cost.
  • Comprehensive follow-up: From pain management to gum healing, we guide you until your tooth is fully restored.
Don’t wait for infection to worsen or for tooth extraction to become necessary. Book your consultation, call us on +381692289229

Your tooth deserves a second chance. With an apicoectomy, it gets exactly that—pain-free, precise, and effective treatment from a clinic that cares.

FAQ

It is not painful at all. During the intervention you are under anesthesia and after the intervention you take painkillers as needed.

Yes, you will remain awake during an apicoectomy, but if you’re feeling nervous about the procedure, we may be able to provide you with a safe form of dental sedation to help you relax.

You will return to daily activities in 24 to 48 hours. You should plan to rest during the day of surgery. You may be ready to return to your normal daily activities such as work or school the next day. Take another day to rest at home if you need it.

Soft food and liquids can be eaten on the day of surgery. The act of chewing doesn’t damage anything, but you should avoid chewing sharp or hard objects at the surgical site for several days. Return to a normal diet as soon a

You should avoid gym and other sport activities for couple of days. Physical exertion can increase blood flow to the surgical site and potentially lead to prolonged bleeding or swelling.