UNDERSTAND ROOT-END SURGERY

Apical surgery: questions about root-end treatment and referral

Apical surgery, also called an apicectomy, treats selected problems near a tooth’s root tip through the gum. It may be considered when root canal treatment has not resolved the problem and repeat treatment is unsuitable or insufficient.

Ask the provider whether it offers apicectomy and request a written surgical fee. If a crown is also proposed, the published dental fees list zirconia crowns from £160 per unit. This site does not list an apicectomy fee.

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YOUR TOPIC AT A GLANCE

Questions about apical surgery

  1. Different access

    Root-end surgery reaches the root tip through the gum.

  2. Case-specific choice

    Previous treatment and the condition of the tooth affect suitability.

  3. Referral questions

    Confirm the clinician, risks, review arrangements and alternatives before booking.

A visual summary of this guide’s key points. General information for a clinical conversation, not an assessment or treatment plan.
On this page

A KEY QUESTION

Understand why surgery is proposed, its risks and who will provide follow-up before booking.

01

What is surgery intended to treat?

Ask the dentist to identify the tooth and explain the findings. A referral may simply request another opinion; it does not mean surgery has been agreed. The assessing clinician should explain whether it is suitable.

Intact tooth in a side-cutaway jaw model with the root tip enlarged in a circular inset.
Illustrated explanation: Locating the root tip The inset identifies the apical region at the end of the root, away from the visible crown. Illustration for general information; not a patient result.
02

Why not repeat root canal treatment?

Repeat treatment revisits the canals through the tooth. Surgery approaches the root end. Ask what limits the non-surgical option in your case, especially if surgery is suggested before retreatment, and whether both approaches have been considered.

03

What happens during the procedure?

The area is usually numbed with local anaesthetic. The clinician opens the gum, removes affected tissue and a small part of the root tip, and may place a root-end filling. The gum is then stitched. Ask whether tissue will be examined and who explains the findings.

04

Risks and alternatives

Possible complications include discomfort, swelling, infection, gum shrinkage and failure. Gum changes may expose a crown margin. Surgery may not resolve the problem, and extraction may still be needed. General success figures cannot predict your outcome.

  • What findings support surgery?
  • Why is retreatment unsuitable or insufficient?
  • Which risks matter for this tooth?
  • What happens if surgery does not work?
05

Recovery and reviews

THE DETAILS TO UNDERSTAND

Get individual advice about food, cleaning, stitches, activity and signs needing contact. Discuss transport and recovery before the appointment. A general recovery description cannot clear you for work or travel. Agree wound and longer-term healing reviews, with local assessment if concerns develop after returning home.

A reading map for this section. General information; discuss your individual circumstances with the appropriate clinician.
06

Confirm the clinician and service

Ask whether the provider offers apical surgery and whether you need a specialist referral. Confirm who would assess and treat you, their relevant qualifications and the treatment location. Get the reason for referral, summary and relevant images. If several providers are involved, confirm appointments, costs and how records will be shared. Do not delay urgent local care during enquiries.

If you are considering care in Antalya, use the checks before dental treatment abroad to verify the treating clinician, referral needs and follow-up. This guide does not confirm that apical surgery is available through Best Smile Turkey.

Read the related guidance

Keep the wider treatment plan in view while comparing these options.

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Common questions

No. It removes part of the root end while aiming to retain the tooth.

No. Reassessment may identify other suitable options, including non-surgical retreatment.

Ask about its condition, access and possible gum changes affecting appearance or care.

First obtain clinical confirmation of assessment, referral and availability. An enquiry is not confirmation of suitability or a booking.

About this information

Published by Best Smile Turkey, a health-tourism intermediary. Your treating dentist is responsible for assessment, treatment and care.

Use this information to prepare questions for your dentist. An examination is needed to advise on treatment. Photographs, models and previews cannot establish suitability or predict results.

Source checking is not a clinical review. How we use sources and images, or how to report a correction.

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These checks cover only the stated claims, not the whole page or your individual care.

Sources and further reading

These resources offer general guidance; their publishers do not endorse Best Smile Turkey or the treating provider. Manufacturer links identify products or records, not independently compared outcomes. NHS funding information concerns UK care, not treatment costs in Turkey.

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