Apicoectomy (Root-End Surgery)
Surgically remove infection at the root tip when standard root canal retreatment is not viable.
What Is Apicoectomy (Root-End Surgery) & Why Is It Done?
In simple words, Apicoectomy (Root-End Surgery) saves a badly aching, cracked, or infected natural tooth so you do not have to get it pulled out. Surgically remove infection at the root tip when standard root canal retreatment is not viable. Under complete local numbing, the dentist gently cleans out the inflamed nerve/bacteria inside the tooth, seals the clean root channels, and protects the tooth so you can chew pain-free again.
Painless During Procedure (Performed under profound local anesthesia; mild biting tenderness for 2–3 days is easily managed with prescribed tablets)
Return to work right after your visit; chew on the opposite side until your protective crown/cap is placed
Estimate Your Apicoectomy (Root-End Surgery) Cost in India
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MDS Specialist consultation, digital X-rays & modern rotary/digital precision.
Reflects balanced metro specialist pricing across DCI-accredited multi-specialty practices.
Clinical Overview & Pathology Progression
Across verified Indian dental practices powered by Orca OS, Apicoectomy (Root-End Surgery) (Periapical Microsurgical Resection) is performed according to Dental Council of India (DCI), Indian Endodontic Society (IES), and IDA clinical standards. Surgically remove infection at the root tip when standard root canal retreatment is not viable. Modern electronic apex locators, flexible NiTi rotary instruments, rubber dam isolation, and bioceramic/activated disinfection achieve 95–98% tooth survival rates.
Anatomical Stages & Intervention Urgency:
Stage 1: Deep Decay Approaching the Tooth Nerve
Bacteria move past outer enamel into deep dentin, sending warning twinges to the inner pulp nerve.
Stage 2: Irreversible Pulpitis (Inflamed Tooth Nerve)
Bacteria reach the enclosed nerve chamber, causing pressure buildup that cannot heal with painkillers alone.
Stage 3: Infected / Necrotic Root Canal & Bite Pain
Infection travels down the root tip into the surrounding jawbone ligament.
Stage 4: Chronic Root-Tip Abscess or Failed Old RCT
Long-standing bacterial leakage forms a pus pocket (periapical lesion) at the root tip.
How the Procedure is Performed (Step-by-Step)
Standardized surgical protocol endorsed by DCI and IDA specialist boards
Digital X-Ray / CBCT & Painless Local Numbing
A quick digital X-ray maps root length and curvature, followed by gentle local anesthesia so the tooth becomes 100% numb.
Rubber Dam Shield & Tiny Access Opening
A clean latex-free sheet isolates the tooth from saliva so bacteria cannot re-enter while a tiny opening accesses the canal.
Rotary Cleaning & Ultrasonic Disinfection
Flexible NiTi files and antibacterial irrigants gently clean microscopic bacteria out of every root channel.
Biocompatible Root Seal & Crown Protection Plan
Canals are sealed tightly with gutta-percha/bioceramic sealer, followed by core build-up and a protective cap (crown) for back teeth.
Essential Clinical Rules Every Patient Should Know
- Patient-First Clinical Safety: Verified clinics on Orca OS follow Dental Council of India (DCI) and IDA standards, explaining all findings clearly on-screen before beginning Apicoectomy (Root-End Surgery).
- Transparent Indian Fee Breakdown: National pricing (₹5,000 – ₹15,000) depends on which tooth is treated (front teeth have 1 canal while back molars have 3–4 canals), whether 3D microscope/CBCT retreatment is required, and note that the final protective crown (PFM, Zirconia, or E-Max) is typically billed separately. Always ask for a written pre-treatment estimate.
- Long-Term Protection: When protected promptly with a well-fitting crown on back chewing teeth and maintained with normal brushing and 6-month checkups, Apicoectomy (Root-End Surgery) routinely lasts 10 to 20+ years—and often a lifetime.
Verified Clinics Offering Apicoectomy (Root-End Surgery)
Live pricing and confirmed availability streamed directly from clinic practice management systems
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Frequently Asked Clinical Questions
What is Apicoectomy (Root-End Surgery) in simple terms, and when do I need it?
In simple words, Apicoectomy (Root-End Surgery) saves a badly aching, cracked, or infected natural tooth so you do not have to get it pulled out. Surgically remove infection at the root tip when standard root canal retreatment is not viable. Under complete local numbing, the dentist gently cleans out the inflamed nerve/bacteria inside the tooth, seals the clean root channels, and protects the tooth so you can chew pain-free again.
Is Apicoectomy (Root-End Surgery) painful?
Painless During Procedure (Performed under profound local anesthesia; mild biting tenderness for 2–3 days is easily managed with prescribed tablets). Your dentist checks your comfort throughout the 45 - 60 mins session and explains every step beforehand so there are zero surprises.
How much does Apicoectomy (Root-End Surgery) cost in India?
In India, Apicoectomy (Root-End Surgery) costs typically between ₹5,000 and ₹15,000 across verified Indian dental clinics. Exact fees vary based on which tooth is treated (front teeth have 1 canal while back molars have 3–4 canals), whether 3D microscope/CBCT retreatment is required, and note that the final protective crown (PFM, Zirconia, or E-Max) is typically billed separately, as well as city tier (Metro vs Tier-2).
How long does Apicoectomy (Root-End Surgery) take, and how long do results last?
Typical clinical time is 45 - 60 mins (return to work right after your visit; chew on the opposite side until your protective crown/cap is placed). When protected promptly with a well-fitting crown on back chewing teeth and maintained with normal brushing and 6-month checkups, Apicoectomy (Root-End Surgery) routinely lasts 10 to 20+ years—and often a lifetime.
Related Clinical Procedures & Guides
Cross-linked evidence guides and alternative restorative options
Re-Root Canal Treatment (Re-RCT)
Salvage a previously treated tooth that has developed recurrent infection.
Root Canal Treatment (RCT)
Eliminate tooth infection and save your natural tooth with painless rotary endodontics.
Jaw Cyst Enucleation
Surgically remove expanding fluid-filled cysts in the jawbone to protect tooth roots and prevent fractures.