Endodontics
Endodontic Surgery in Gurgaon
In a small number of cases, infection persists at the root tip even after excellent root canal treatment, or the canal anatomy makes conventional treatment impossible. Endodontic surgery - most commonly an apicoectomy - treats the problem directly at the root tip and saves the tooth.
As a specialist endodontic practice, we perform these microsurgical procedures in-house with magnification, precise instruments and gentle technique.
Endodontic surgery treats infection at the tip of a root when working through the crown of the tooth is not enough. The most common procedure is an apicoectomy: a small opening is made in the gum, the infected tip of the root and surrounding tissue are removed, and the end of the canal is sealed from below with a biocompatible material.
It sounds more daunting than it is. The procedure is done under local anaesthetic, usually takes under an hour, and is performed under the microscope - which matters, because the root tip is a few millimetres across and the accessory canals that cause the trouble are finer than a hair. Most patients are surprised by how ordinary the recovery is: a day or two of swelling, then normal life.
Surgery is not the first choice and we will not suggest it when retreatment through the tooth would work. It comes into its own when a canal is blocked by a post that cannot safely be removed, when retreatment has already been tried, or when a cyst has formed at the root tip and needs to be removed directly.
Why patients choose us for this
The last line before extraction
Surgery rescues teeth that cannot be saved by conventional or repeat root canal treatment.
Microsurgical precision
Small incisions, magnified visibility and fine instruments mean faster, more comfortable healing.
Specialist care
Performed by an endodontist trained specifically in these procedures.
What to expect
- 01
Evaluation
Imaging confirms surgery is the right option and maps the root anatomy.
- 02
Access
Under local anaesthesia, a small opening in the gum exposes the root tip.
- 03
Root-end treatment
The infected tip and tissue are removed and the root end is sealed with biocompatible filling.
- 04
Healing
The gum is closed with fine sutures; bone heals around the root over the following months.
How long it takes
The procedure takes 45 to 90 minutes depending on which tooth and how much bone is involved. Stitches come out after about a week, and the bone continues healing quietly over the following months.
What it costs
Fees depend on the tooth, the extent of the lesion and whether grafting material is needed. All of it is quoted in writing beforehand, including the follow-up visit to remove stitches.
Get a written estimateAfterwards
What the next few days actually look like, so nothing comes as a surprise.
- Use an ice pack over the area for the first few hours to limit swelling
- Expect visible swelling to peak on the second day, then subside
- Soft food and no brushing directly over the site until the stitches are out
- No smoking - it markedly slows healing of the gum and bone
Frequently asked questions
Is endodontic surgery painful?
The procedure is done under local anaesthesia and is comfortable. Mild swelling for a few days afterwards is normal.
How long is recovery?
Most patients return to normal routine the next day. Sutures are typically removed within a week.
What is the success rate?
Modern microsurgical apicoectomy has high success rates, particularly when performed by a specialist with magnification.
Is it as bad as it sounds?
Almost always no. It is done under local anaesthetic, and most patients compare the recovery to having a wisdom tooth out - a couple of uncomfortable days rather than a week.
Will there be a visible scar?
The incision is inside the mouth, at the gum line. Once healed it is not visible when you smile.
How long before I know it worked?
Symptoms usually settle within days. Bone healing is slower and is confirmed on an X-ray several months later, which is why we follow these cases up rather than discharging you immediately.