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Although there are many surgical procedures that can be performed

to save a tooth, the most common is called apicoectomy or root-end


When inflammation or infection persists in the bony area around the end of your

tooth after a root canal procedure, your endodontist may have to perform an

In this procedure, the endodontist opens the gum tissue near the tooth to see the underlying bone and to remove any inflamed or infected tissue. The very end of the root is also removed.

A small filling may be placed to seal the end of the

root canal, and a few stitches or sutures are placed

in the gum to help the tissue heal properly.

Over a period of months, the bone heals around
the end of the root.

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