Apicoectomy (root-end surgery)
A typical case, in 6 steps over 1 visit. Typically back to work or routine the next day; the bone heals around the root over a period of months. Every step names its source.
Not yet reviewed by a licensed clinician. Every step names its source.
Apicoectomy (root-end surgery) · Visit 1
Numbing
The area is numbed with a local anesthetic.
Source: aae.org
Steps in a typical case
Numbing
The area is numbed with a local anesthetic.
Visit 1 · Source 1
Opening the gum
The endodontist opens the gum tissue near the tooth to see the bone underneath.
Visit 1 · Source 1
Removing infected tissue
Any inflamed or infected tissue around the root is removed.
Visit 1 · Source 1
Removing the root tip
The very end of the root is removed.
Visit 1 · Source 1
Sealing and stitches
A small filling may be placed to seal the end of the root canal, and a few stitches help the gum heal.
Visit 1 · Source 1
Healing
Most people return to work or routine activities the next day. Over a period of months, the bone heals around the end of the root.
Visit 1 · Source 1
Typical trade-offs
| Visits | Typically 1 visit under local anesthetic. Source 1 |
|---|---|
| Time to final result | Typically back to work or routine the next day; the bone heals around the root over a period of months. Source 1 |
| How long it lasts | Typically lets the natural tooth be kept once the bone heals. Source 1 |
| Upkeep | Typical upkeep: following the after-care instructions; some discomfort or slight swelling while healing is normal. Source 1 |
Figures for a typical case from the sources below. A dentist can say how a given case differs.
Questions to ask your dentist
- The typical case takes one visit. Would mine, and how long would it take?
- What are my other options, including waiting, and what happens if I wait?
- How long does it usually last in a case like mine, and what upkeep will it need?
- Will it hurt, and what can I eat or do while it heals?
- What will it cost me, and will my insurance cover it? Ask which billing codes apply (the typical case uses D3410, D3421, D3425, D3426).
- How many of these have you done, and who would do mine?
Sources
- Endodontic surgery explained. American Association of Endodontists. www.aae.org/patients/root-canal-treatment/endodontic-treatment-options/endodontic-surgery/endodontic-surgery-explained. Accessed November 14, 2026.
Osler Press procedure library, version 2026.11.0. Billing codes for the typical case: D3410, D3421, D3425, D3426.