An apicoectomy is a surgical procedure to remove the tip of a tooth's root and the surrounding infected tissue when a root canal treatment has failed to resolve the problem. It is a common procedure used to save a tooth that might otherwise require extraction due to persistent infection or damage at the root tip.

The procedure is performed under local anesthesia.
The dentist or oral surgeon makes an incision in the gum tissue near the affected tooth to access the underlying bone.
The tip of the tooth's root (the apex) is exposed and removed, along with any infected tissue.
The gum is sutured back, and the healing process begins.

Success and Alternatives:

Apicoectomy is often a successful procedure in saving a tooth that might otherwise need to be extracted.
If an apicoectomy does not resolve the issue or if the infection recurs, further treatment (such as tooth extraction or more extensive surgery) may be required.

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