Apicoectomy is a common surgical procedure performed by Endodontists, in order to treat a tooth that has persistent infection or inflammation, despite having had root canal therapy. This procedure is done under local anesthesia with no discomfort to the patient. The Endodontist retracts the gum tissue near the end of the root, in order to remove infected tissue. 


The very end of the root is also removed and a therapeutic filling material is placed at the end of the root.  


Most patients return to their normal activity the next day. Apicoectomy is the recommended treatment when non-surgical retreatment is not feasible.