An apisectomy will be performed in some instances, an abscess may become chronic, and a cyst can develop, which can destroy the surrounding bone. When Root canal treatment service, if successful, will usually solve the problem of abscesses.

An apisectomy is an endodontic surgical procedure that sees a tooth’s root tip being removed, a root end cavity being prepared and filled with biocompatible material, and removing any infected tissue from around the tip.

The aim of an apisectomy is to contain any bacteria that may be remaining totally within the canal system. This procedure would only be attempted after a traditional root canal has failed and because of the difficulty in accessing the tips of the roots it is generally only done on the anterior (front) teeth and by a specialist endodontist.

Reported success rates for apicoectomy vary widely. However, findings published in 2010 indicated an overall success rate of 85-95% for surgical endodontic treatment. There are many factors that will affect the likelihood of success of apicoectomy. If performed correctly, it can be highly successful in preventing loss of teeth, which would otherwise be extracted.