Apicoectomy (Root-End Surgery)
When the infection cannot be reached from inside the tooth, it is reached from outside.
Apicoectomy (Root-End Surgery) at Dr. Amit Sharma Super Speciality Dental Hospital, Malviya Nagar, Jaipur — a NABH-accredited dental hospital with 30 beds and an MS-HDU, 12 dental specialities and 34 specialists on panel, in-house OPG, CBCT, CAD/CAM laboratory and pharmacy. Treatment is planned by the specialist who handles this procedure, costed in writing before it starts, and covered under RGHS, CGHS, ECHS, RHB, Indian Railways and Saras where applicable.
- NABH accredited
- 30 beds · MS-HDU
- 12 specialities · 34 specialists
- 9 govt & PSU panels
- 1.5 lakh+ treatments
- Open 7 days
An apicoectomy removes the last few millimetres of an infected root tip along with the surrounding inflamed tissue, and seals the root end with a biocompatible material. It is done when a conventional re-treatment is impossible or has already failed.
Typical indications are a tooth carrying a well-fitting post and crown that cannot be dismantled safely, a persistent cyst at the root apex, or a canal blocked by a separated instrument or a ledge.
What the surgery involves
Under local anaesthesia, a small flap is raised over the root, the infected apex and lesion are removed, the root end is prepared with ultrasonic tips and sealed, and the flap is sutured. It usually takes 45 to 90 minutes.
Sutures are removed after a week. Swelling for two to three days is expected, and most patients return to work the next day.
How well it works
Modern microsurgical technique with bioceramic root-end filling has substantially better outcomes than the older approach using amalgam and loupes — success rates reported in the literature are commonly above 85% at follow-up.
Healing is confirmed radiographically over six to twelve months as the bony lesion fills in, so a review radiograph at that point is part of the treatment, not an extra.
What your treatment journey looks like
- Step 1Assessment
CBCT to define the lesion, root anatomy and proximity to the sinus or nerve.
- Step 2Surgery
Flap, apex resection, ultrasonic preparation and bioceramic root-end seal.
- Step 3Healing
Sutures removed at one week, with medication and aftercare instructions.
- Step 4Radiographic review
Follow-up imaging at six and twelve months to confirm bony healing.
Frequently asked questions
Is this the same as a root canal?
No. A root canal is done from inside the tooth through the crown. An apicoectomy approaches the infected root tip surgically from outside, through the gum.
Will I keep the tooth?
That is the objective, and in most well-selected cases yes. Teeth with vertical root fractures are the main exception and are diagnosed beforehand on CBCT wherever possible.
How long is recovery?
Swelling for two to three days, sutures out at a week, and normal function throughout apart from avoiding hard food on the operated side.
Apicoectomy (Root-End Surgery) in a hospital setting, not a single chair
Most dental care in Jaipur is delivered from single-chair clinics. The difference shows up when a case needs bone work, sedation, inpatient monitoring or a second speciality on the same day.
- Accreditation
- NABH-accredited dental hospital
- Typical clinicClinic registration only
- Inpatient capability
- 30 beds with an MS-HDU for post-operative monitoring
- Typical clinicDay-chair only; complex cases referred out
- Specialities under one roof
- 12 dental specialities, 34 specialists on panel
- Typical clinicOne or two dentists, visiting consultants
- Surgical setup
- In-house operating setup, sedation and general anaesthesia support
- Typical clinicLocal anaesthesia procedures only
- Diagnostics
- In-house OPG, CBCT, pathology lab and pharmacy
- Typical clinicExternal radiology and pharmacy referral
- Government & PSU empanelment
- 9 government / PSU panels accepted
- Typical clinicUsually none
- Clinical volume
- 50+ OPD patients a day; 1.5 lakh+ treatments completed
- Typical clinicLow single-practitioner volume
- Costing
- Written treatment plan and cost before anything is started
- Typical clinicVerbal estimate, revised during treatment
Who treats you, and what stands behind it
Patients travelling from Jaipur are seen by the specialist whose field the problem sits in — not by whoever is free. Every plan is imaged, written down and costed before treatment begins.
Leads the surgical and implant service — single-tooth to full-arch and zygomatic rehabilitation, impacted third molars, cysts, jaw pathology and facial trauma, all planned on CBCT before surgery.
Handles crowns, veneers, full-mouth rehabilitation and implant prosthetics, designed digitally and milled on the in-house CAD/CAM unit for shade and fit accuracy.
Treats painful, previously failed and calcified canals under a dental operating microscope, including retreatment and apical surgery where a tooth is worth saving.
Sterilisation, records and patient-safety protocols independently audited — rare in dentistry.
See the hospital3D imaging, intraoral scanning and microscopic endodontics under one roof, so nothing is referred out.
View technologyA dedicated paediatric wing, in-house CAD/CAM lab and medical store — plus honest, staged pricing.
Explore facilitiesCashless and reimbursement treatment for government and PSU beneficiaries and their dependants.
Check empanelmentGet a written plan and cost before you commit
Apicoectomy (Root-End Surgery) is planned on imaging first, quoted in writing, and carried out by the specialist whose field it sits in. Call the hospital or book online and bring any previous OPG or CBCT with you.
reception@dramitsharmahospital.com