{"id":11750,"date":"2024-11-09T08:38:39","date_gmt":"2024-11-09T07:38:39","guid":{"rendered":"https:\/\/www.gloss-floss.se\/apical-surgery\/"},"modified":"2026-05-15T16:47:04","modified_gmt":"2026-05-15T14:47:04","slug":"apical-surgery","status":"publish","type":"page","link":"https:\/\/www.gloss-floss.se\/en\/apical-surgery\/","title":{"rendered":"Apical surgery"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"11750\" class=\"elementor elementor-11750 elementor-11133\" data-elementor-post-type=\"page\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-1b8b8740 elementor-section-stretched elementor-section-full_width elementor-section-height-default elementor-section-height-default\" data-id=\"1b8b8740\" data-element_type=\"section\" data-e-type=\"section\" 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class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-inner-column elementor-element elementor-element-255cbac\" data-id=\"255cbac\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-3385b994 elementor-widget elementor-widget-text-editor\" data-id=\"3385b994\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<article class=\"gf-apical-surgery-page\" style=\"color:#ffffff; line-height:1.65;\">\n\n<h1>Apical Surgery in S\u00f6dermalm \u2013 Save a Tooth After Failed Root Canal Treatment<\/h1>\n\n<p><strong>Apical surgery in S\u00f6dermalm<\/strong> may be considered when an infection remains at the tip of a tooth root after previous <a href=\"https:\/\/www.gloss-floss.se\/en\/root-canal-treatments\/\" target=\"_blank\" rel=\"noopener\">root canal treatment<\/a>. The procedure is also called <strong>apicoectomy<\/strong>, <strong>root-end surgery<\/strong> or <strong>root-tip resection<\/strong>. The goal is to remove the infected tissue around the root tip, seal the canal from the end and give the natural tooth a better chance of long-term survival.<\/p>\n\n<p>At Gloss &amp; Floss Dental Care\u00ae in S\u00f6dermalm, we assess each case carefully before recommending surgery. Apical surgery is not the first option for every failed root canal. Sometimes a root canal retreatment is more suitable. In other cases, extraction and a future <a href=\"https:\/\/www.gloss-floss.se\/en\/dental-implants\/\" target=\"_blank\" rel=\"noopener\">dental implant<\/a> may be more predictable. Our role is to explain the options clearly and help you choose the most reasonable tooth-saving strategy.<\/p>\n\n<p>This page focuses on <strong>persistent infection after root canal treatment<\/strong>, when apical surgery may be useful, how the procedure works, what recovery is usually like and when another treatment may be better.<\/p>\n\n<p style=\"font-size:0.95em; color:#ffffff;\"><strong>Reviewed by:<\/strong> Gloss &amp; Floss Dental Care. <strong>Last updated:<\/strong> May 2026.<\/p>\n\n<div style=\"border:1.5px solid #d6a622; background:#fffaf0; color:#111111; padding:20px; border-radius:10px; margin:28px 0;\">\n<h2 style=\"margin-top:0; color:#c99a13;\">Quick answer \u2013 when apical surgery may be needed<\/h2>\n<ul>\n<li><strong>Main reason:<\/strong> infection or inflammation remains around the root tip after root canal treatment.<\/li>\n<li><strong>Purpose:<\/strong> remove infected tissue, remove the root tip and seal the canal end.<\/li>\n<li><strong>Goal:<\/strong> preserve the natural tooth when the prognosis is reasonable.<\/li>\n<li><strong>Alternative options:<\/strong> root canal retreatment, monitoring, extraction or implant planning depending on the case.<\/li>\n<li><strong>Important:<\/strong> diagnosis, imaging and tooth-restoration quality must be evaluated before surgery.<\/li>\n<\/ul>\n<p style=\"margin-bottom:0;\"><strong>Best next step:<\/strong> book an assessment if you still have symptoms, swelling, a sinus tract, recurring tenderness or a visible infection after previous root canal treatment.<\/p>\n<\/div>\n\n<hr style=\"border:0; border-top:1px solid rgba(255,255,255,0.25); margin:30px 0;\" \/>\n\n<h2>What is apical surgery?<\/h2>\n\n<p><strong>Apical surgery<\/strong> is a minor surgical procedure used to treat infection at the very end of a tooth root. During the procedure, the dentist accesses the root tip through the gum, removes infected tissue and a small part of the root end, then seals the canal from the root side with a suitable root-end filling material.<\/p>\n\n<p>The procedure is different from a standard root canal. A root canal cleans the inside of the tooth through the crown. Apical surgery treats the root tip from the outside, usually when the internal root canal route is not enough, not accessible or not predictable.<\/p>\n\n<p>Apical surgery may help preserve a natural tooth that would otherwise be considered for extraction. However, the tooth must still have enough remaining structure, a reasonable restoration, acceptable gum and bone support, and no signs of a vertical root fracture.<\/p>\n\n<hr style=\"border:0; border-top:1px solid rgba(255,255,255,0.25); margin:30px 0;\" \/>\n\n<h2>Symptoms that may suggest persistent root infection<\/h2>\n\n<p>A persistent infection after root canal treatment does not always cause strong pain. Some patients only notice mild tenderness or a small recurring swelling. Others have a visible lesion on X-ray without many symptoms.<\/p>\n\n<ul>\n<li>Recurring tenderness when biting or chewing<\/li>\n<li>Swelling near a previously root-filled tooth<\/li>\n<li>A small pimple-like opening on the gum that releases fluid<\/li>\n<li>Bad taste from the area<\/li>\n<li>Persistent infection visible on dental imaging<\/li>\n<li>Previous root canal treatment that has not healed as expected<\/li>\n<li>Repeated flare-ups around the same tooth<\/li>\n<\/ul>\n\n<div style=\"overflow-x:auto; margin:24px 0;\">\n<table style=\"width:100%; border-collapse:collapse; border:1px solid #dddddd; background:#ffffff; color:#111111;\">\n<caption style=\"caption-side:top; text-align:left; font-weight:bold; margin-bottom:10px; color:#ffcc00;\">Symptoms after root canal treatment and possible next steps<\/caption>\n<thead>\n<tr>\n<th scope=\"col\" style=\"border:1px solid #dddddd; padding:12px; text-align:left; background:#c8a45d; color:#111111;\">Symptom or finding<\/th>\n<th scope=\"col\" style=\"border:1px solid #dddddd; padding:12px; text-align:left; background:#c8a45d; color:#111111;\">Possible meaning<\/th>\n<th scope=\"col\" style=\"border:1px solid #dddddd; padding:12px; text-align:left; background:#c8a45d; color:#111111;\">Recommended next step<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td style=\"border:1px solid #dddddd; padding:12px;\">Tenderness when biting<\/td>\n<td style=\"border:1px solid #dddddd; padding:12px;\">Persistent inflammation, bite overload, crack or healing issue.<\/td>\n<td style=\"border:1px solid #dddddd; padding:12px;\">Clinical exam, bite check and imaging.<\/td>\n<\/tr>\n<tr>\n<td style=\"border:1px solid #dddddd; padding:12px;\">Swelling near the root-filled tooth<\/td>\n<td style=\"border:1px solid #dddddd; padding:12px;\">Possible active infection around the root tip.<\/td>\n<td style=\"border:1px solid #dddddd; padding:12px;\">Prompt dental assessment.<\/td>\n<\/tr>\n<tr>\n<td style=\"border:1px solid #dddddd; padding:12px;\">Pimple-like opening on the gum<\/td>\n<td style=\"border:1px solid #dddddd; padding:12px;\">Possible draining sinus tract from a chronic infection.<\/td>\n<td style=\"border:1px solid #dddddd; padding:12px;\">Root-cause diagnosis and treatment planning.<\/td>\n<\/tr>\n<tr>\n<td style=\"border:1px solid #dddddd; padding:12px;\">Lesion visible on X-ray<\/td>\n<td style=\"border:1px solid #dddddd; padding:12px;\">Bone reaction around the root tip that may require monitoring or treatment.<\/td>\n<td style=\"border:1px solid #dddddd; padding:12px;\">Compare with earlier images and assess healing trend.<\/td>\n<\/tr>\n<tr>\n<td style=\"border:1px solid #dddddd; padding:12px;\">Severe pain, fever or spreading swelling<\/td>\n<td style=\"border:1px solid #dddddd; padding:12px;\">Possible acute infection.<\/td>\n<td style=\"border:1px solid #dddddd; padding:12px;\">Seek urgent dental care.<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/div>\n\n<p>If symptoms become acute, our <a href=\"https:\/\/www.gloss-floss.se\/en\/emergency-toothache-stockholm\/\" target=\"_blank\" rel=\"noopener\">emergency toothache in Stockholm<\/a> page explains warning signs and when to seek same-day dental care.<\/p>\n\n<hr style=\"border:0; border-top:1px solid rgba(255,255,255,0.25); margin:30px 0;\" \/>\n\n<h2>When is apical surgery recommended?<\/h2>\n\n<p>Apical surgery may be recommended when a tooth has a persistent root-tip infection and conventional root canal treatment or retreatment is not expected to solve the problem predictably. The decision is always individual.<\/p>\n\n<ul>\n<li>Persistent infection or cyst-like lesion near the root apex after previous root canal treatment<\/li>\n<li>Root canal retreatment is not possible or would risk weakening the tooth<\/li>\n<li>Complex root anatomy blocks complete cleaning from inside the tooth<\/li>\n<li>Blocked, calcified or fractured instruments prevent normal canal access<\/li>\n<li>A crown or post makes retreatment difficult or risky<\/li>\n<li>The tooth is strategically important and worth preserving<\/li>\n<li>The tooth has enough remaining structure and no vertical root fracture<\/li>\n<\/ul>\n\n<p>If you have been advised to remove a tooth but want to understand whether it can still be saved, a <a href=\"https:\/\/www.gloss-floss.se\/en\/second-opinion\/\" target=\"_blank\" rel=\"noopener\">second opinion<\/a> can be useful before making a final decision.<\/p>\n\n<hr style=\"border:0; border-top:1px solid rgba(255,255,255,0.25); margin:30px 0;\" \/>\n\n<h2>Root canal retreatment, apical surgery or extraction?<\/h2>\n\n<p>The most important part of treatment planning is choosing the right path. Apical surgery is not automatically better than retreatment, and extraction is not automatically wrong. The best choice depends on the tooth, the infection, the root filling, the restoration, the bone support and your long-term goals.<\/p>\n\n<div style=\"overflow-x:auto; margin:24px 0;\">\n<table style=\"width:100%; border-collapse:collapse; border:1px solid #dddddd; background:#ffffff; color:#111111;\">\n<caption style=\"caption-side:top; text-align:left; font-weight:bold; margin-bottom:10px; color:#ffcc00;\">Treatment options after a failed or persistent root canal infection<\/caption>\n<thead>\n<tr>\n<th scope=\"col\" style=\"border:1px solid #dddddd; padding:12px; text-align:left; background:#c8a45d; color:#111111;\">Option<\/th>\n<th scope=\"col\" style=\"border:1px solid #dddddd; padding:12px; text-align:left; background:#c8a45d; color:#111111;\">When it may be suitable<\/th>\n<th scope=\"col\" style=\"border:1px solid #dddddd; padding:12px; text-align:left; background:#c8a45d; color:#111111;\">Main goal<\/th>\n<th scope=\"col\" style=\"border:1px solid #dddddd; padding:12px; text-align:left; background:#c8a45d; color:#111111;\">Important limitation<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td style=\"border:1px solid #dddddd; padding:12px;\"><strong>Root canal retreatment<\/strong><\/td>\n<td style=\"border:1px solid #dddddd; padding:12px;\">When the canal can be reopened and cleaned more predictably from inside the tooth.<\/td>\n<td style=\"border:1px solid #dddddd; padding:12px;\">Remove infection from inside the canal system.<\/td>\n<td style=\"border:1px solid #dddddd; padding:12px;\">May be difficult if there is a post, complex anatomy or risk of weakening the tooth.<\/td>\n<\/tr>\n<tr>\n<td style=\"border:1px solid #dddddd; padding:12px;\"><strong>Apical surgery<\/strong><\/td>\n<td style=\"border:1px solid #dddddd; padding:12px;\">When infection persists at the root tip and the tooth still has a reasonable prognosis.<\/td>\n<td style=\"border:1px solid #dddddd; padding:12px;\">Remove root-tip infection and seal the root end from outside.<\/td>\n<td style=\"border:1px solid #dddddd; padding:12px;\">Not suitable if the tooth has a poor structural or periodontal prognosis.<\/td>\n<\/tr>\n<tr>\n<td style=\"border:1px solid #dddddd; padding:12px;\"><strong>Extraction and replacement<\/strong><\/td>\n<td style=\"border:1px solid #dddddd; padding:12px;\">When the tooth cannot be predictably saved due to fracture, severe decay or poor support.<\/td>\n<td style=\"border:1px solid #dddddd; padding:12px;\">Remove the infection source and plan a replacement if needed.<\/td>\n<td style=\"border:1px solid #dddddd; padding:12px;\">May require future planning with bridge, denture or implant solution.<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/div>\n\n<p>If extraction becomes the most reasonable option, we will explain replacement alternatives clearly, including <a href=\"https:\/\/www.gloss-floss.se\/en\/dental-implants\/\" target=\"_blank\" rel=\"noopener\">dental implants<\/a> when clinically suitable.<\/p>\n\n<hr style=\"border:0; border-top:1px solid rgba(255,255,255,0.25); margin:30px 0;\" \/>\n\n<h2>How we diagnose the problem before surgery<\/h2>\n\n<p>A reliable diagnosis is essential before apical surgery. We do not recommend surgery based only on symptoms. We assess the tooth, the surrounding bone, the previous root filling, the bite, the restoration and the long-term prognosis.<\/p>\n\n<ul>\n<li><strong>Clinical examination:<\/strong> tenderness, swelling, sinus tract, bite sensitivity and gum condition are evaluated.<\/li>\n<li><strong>Dental imaging:<\/strong> X-rays help identify root-tip lesions, healing status and bone changes.<\/li>\n<li><strong>Comparison with previous images:<\/strong> when available, earlier X-rays help determine whether the lesion is healing, stable or worsening.<\/li>\n<li><strong>3D assessment when needed:<\/strong> when more detailed mapping is required, CBCT can be arranged or requested as part of diagnostic planning.<\/li>\n<li><strong>Restorative assessment:<\/strong> the crown, filling or post must be evaluated because the final seal of the tooth affects prognosis.<\/li>\n<li><strong>Prognosis discussion:<\/strong> we explain whether tooth-saving treatment is reasonable or whether another option is more predictable.<\/li>\n<\/ul>\n\n<p>You can read more about diagnostic support on our <a href=\"https:\/\/www.gloss-floss.se\/en\/dental-imaging\/\" target=\"_blank\" rel=\"noopener\">dental imaging<\/a> page.<\/p>\n\n<hr style=\"border:0; border-top:1px solid rgba(255,255,255,0.25); margin:30px 0;\" \/>\n\n<h2>How apical surgery works \u2013 step by step<\/h2>\n\n<ol>\n<li><strong>Assessment and treatment plan:<\/strong> we confirm the diagnosis, explain options and decide whether apical surgery is the right path.<\/li>\n<li><strong>Comfort and anaesthesia:<\/strong> the area is numbed with local anaesthesia. For anxious patients, <a href=\"https:\/\/www.gloss-floss.se\/en\/sedation-for-relaxed-dentistry\/\" target=\"_blank\" rel=\"noopener\">sedation for relaxed dentistry<\/a> can be discussed when appropriate.<\/li>\n<li><strong>Access to the root tip:<\/strong> a small opening is made in the gum to reach the infected area around the root end.<\/li>\n<li><strong>Removal of infection and root tip:<\/strong> infected tissue and a few millimetres of the root tip are removed with precise instruments.<\/li>\n<li><strong>Root-end cleaning and sealing:<\/strong> the end of the canal is cleaned and sealed to reduce the risk of reinfection.<\/li>\n<li><strong>Closure:<\/strong> the gum is repositioned and sutured. You receive written aftercare instructions.<\/li>\n<li><strong>Follow-up:<\/strong> healing is monitored clinically and, when needed, with imaging over time.<\/li>\n<\/ol>\n\n<div style=\"overflow-x:auto; margin:24px 0;\">\n<table style=\"width:100%; border-collapse:collapse; border:1px solid #dddddd; background:#ffffff; color:#111111;\">\n<caption style=\"caption-side:top; text-align:left; font-weight:bold; margin-bottom:10px; color:#ffcc00;\">Typical timeline for apical surgery<\/caption>\n<thead>\n<tr>\n<th scope=\"col\" style=\"border:1px solid #dddddd; padding:12px; text-align:left; background:#c8a45d; color:#111111;\">Stage<\/th>\n<th scope=\"col\" style=\"border:1px solid #dddddd; padding:12px; text-align:left; background:#c8a45d; color:#111111;\">What happens?<\/th>\n<th scope=\"col\" style=\"border:1px solid #dddddd; padding:12px; text-align:left; background:#c8a45d; color:#111111;\">Purpose<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td style=\"border:1px solid #dddddd; padding:12px;\">Consultation and diagnosis<\/td>\n<td style=\"border:1px solid #dddddd; padding:12px;\">Clinical exam, imaging review and treatment discussion.<\/td>\n<td style=\"border:1px solid #dddddd; padding:12px;\">Confirm whether the tooth can reasonably be saved.<\/td>\n<\/tr>\n<tr>\n<td style=\"border:1px solid #dddddd; padding:12px;\">Surgery day<\/td>\n<td style=\"border:1px solid #dddddd; padding:12px;\">Root-tip infection is removed and the canal end is sealed.<\/td>\n<td style=\"border:1px solid #dddddd; padding:12px;\">Control infection and preserve the tooth.<\/td>\n<\/tr>\n<tr>\n<td style=\"border:1px solid #dddddd; padding:12px;\">First week<\/td>\n<td style=\"border:1px solid #dddddd; padding:12px;\">Swelling and tenderness usually reduce. Sutures are checked or removed as planned.<\/td>\n<td style=\"border:1px solid #dddddd; padding:12px;\">Support soft-tissue healing and comfort.<\/td>\n<\/tr>\n<tr>\n<td style=\"border:1px solid #dddddd; padding:12px;\">Following months<\/td>\n<td style=\"border:1px solid #dddddd; padding:12px;\">Bone healing continues gradually around the root tip.<\/td>\n<td style=\"border:1px solid #dddddd; padding:12px;\">Assess long-term healing and stability.<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/div>\n\n<hr style=\"border:0; border-top:1px solid rgba(255,255,255,0.25); margin:30px 0;\" \/>\n\n<h2>Benefits of apical surgery<\/h2>\n\n<ul>\n<li><strong>Preserves the natural tooth:<\/strong> when the prognosis is reasonable, surgery may help avoid extraction.<\/li>\n<li><strong>Targets the root-tip infection:<\/strong> the infected tissue outside the canal can be removed directly.<\/li>\n<li><strong>Protects strategic teeth:<\/strong> useful when the tooth is important for chewing, aesthetics or as part of a larger dental plan.<\/li>\n<li><strong>Can be less invasive than extraction and replacement:<\/strong> especially when the tooth structure and restoration are still good.<\/li>\n<li><strong>Clear decision pathway:<\/strong> if the tooth cannot be saved predictably, we discuss alternatives honestly.<\/li>\n<\/ul>\n\n<hr style=\"border:0; border-top:1px solid rgba(255,255,255,0.25); margin:30px 0;\" \/>\n\n<h2>When apical surgery may not be the best option<\/h2>\n\n<p>Apical surgery should not be used simply because a tooth has already had root canal treatment. It is most useful when the tooth is worth saving and the root-tip infection can be treated predictably.<\/p>\n\n<p>Another option may be better if:<\/p>\n\n<ul>\n<li>the tooth has a vertical root fracture<\/li>\n<li>there is extensive decay below the gum or bone level<\/li>\n<li>the remaining tooth structure is too weak<\/li>\n<li>the periodontal support is poor<\/li>\n<li>the restoration cannot be sealed properly<\/li>\n<li>the infection is part of a more complex problem that surgery cannot solve<\/li>\n<\/ul>\n\n<p>In these cases, removing the tooth and planning a replacement may offer a better long-term result. We will explain the advantages and disadvantages before any decision is made.<\/p>\n\n<hr style=\"border:0; border-top:1px solid rgba(255,255,255,0.25); margin:30px 0;\" \/>\n\n<h2>Aftercare and recovery after apical surgery<\/h2>\n\n<p>Mild swelling, tenderness and bruising can occur after apical surgery. Most patients can return to normal daily activities within 1\u20132 days, but the exact recovery depends on the tooth, the surgical area and the extent of inflammation.<\/p>\n\n<ul>\n<li>Use cold compresses during the first 24 hours if recommended.<\/li>\n<li>Avoid strenuous exercise for the first days.<\/li>\n<li>Do not chew hard foods on the treated side initially.<\/li>\n<li>Follow the medication and hygiene instructions from the clinic.<\/li>\n<li>Keep the surgical area clean without disturbing the healing tissue.<\/li>\n<li>Attend follow-up visits so healing can be checked.<\/li>\n<\/ul>\n\n<div style=\"border:1.5px solid #d6a622; background:#fffaf0; color:#111111; padding:20px; border-radius:10px; margin:28px 0;\">\n<h2 style=\"margin-top:0; color:#c99a13;\">Contact the clinic promptly after surgery if you notice:<\/h2>\n<ul>\n<li>increasing swelling after the first days<\/li>\n<li>fever or feeling generally unwell<\/li>\n<li>worsening pain instead of gradual improvement<\/li>\n<li>persistent bleeding<\/li>\n<li>pus, bad taste or spreading infection signs<\/li>\n<li>the treated area feels unstable or unusual<\/li>\n<\/ul>\n<p style=\"margin-bottom:0;\">When symptoms are severe or rapidly worsening, seek urgent dental care.<\/p>\n<\/div>\n\n<hr style=\"border:0; border-top:1px solid rgba(255,255,255,0.25); margin:30px 0;\" \/>\n\n<h2>How successful is apical surgery?<\/h2>\n\n<p>Modern apical surgery can have a high success rate in well-selected cases. However, no responsible clinic should promise success for every tooth. Prognosis depends on the diagnosis, tooth structure, root anatomy, size and location of the lesion, quality of the root filling, quality of the restoration, gum support, bite forces and follow-up.<\/p>\n\n<p>At Gloss &amp; Floss, we focus on realistic planning. If the tooth has a good chance of being preserved, we explain the tooth-saving route. If the long-term prognosis is weak, we will also discuss extraction and replacement options so you can make an informed decision.<\/p>\n\n<hr style=\"border:0; border-top:1px solid rgba(255,255,255,0.25); margin:30px 0;\" \/>\n\n<h2>Why choose Gloss &amp; Floss for apical surgery in S\u00f6dermalm?<\/h2>\n\n<ul>\n<li><strong>Diagnosis before treatment:<\/strong> we assess whether surgery is truly the right next step.<\/li>\n<li><strong>Tooth-saving philosophy:<\/strong> we aim to preserve natural teeth when the prognosis is reasonable.<\/li>\n<li><strong>Clear communication in English:<\/strong> suitable for expats, international patients and English-speaking residents.<\/li>\n<li><strong>Integrated care:<\/strong> root canal history, imaging, restorations, bite and long-term prognosis are considered together.<\/li>\n<li><strong>Second opinion mindset:<\/strong> we can help you understand whether extraction is necessary or whether tooth-saving treatment is possible.<\/li>\n<li><strong>Calm Dental-SPA environment:<\/strong> surgical care is delivered in a professional and reassuring setting in S\u00f6dermalm.<\/li>\n<\/ul>\n\n<hr style=\"border:0; border-top:1px solid rgba(255,255,255,0.25); margin:30px 0;\" \/>\n\n<h2>Related services at Gloss &amp; Floss<\/h2>\n\n<ul>\n<li><a href=\"https:\/\/www.gloss-floss.se\/en\/root-canal-treatments\/\" target=\"_blank\" rel=\"noopener\">Root canal treatments<\/a><\/li>\n<li><a href=\"https:\/\/www.gloss-floss.se\/en\/dental-imaging\/\" target=\"_blank\" rel=\"noopener\">Dental imaging<\/a><\/li>\n<li><a href=\"https:\/\/www.gloss-floss.se\/en\/oral-surgery-and-dental-operations\/\" target=\"_blank\" rel=\"noopener\">Oral surgery and dental operations<\/a><\/li>\n<li><a href=\"https:\/\/www.gloss-floss.se\/en\/second-opinion\/\" target=\"_blank\" rel=\"noopener\">Second opinion<\/a><\/li>\n<li><a href=\"https:\/\/www.gloss-floss.se\/en\/emergency-toothache-stockholm\/\" target=\"_blank\" rel=\"noopener\">Emergency toothache in Stockholm<\/a><\/li>\n<li><a href=\"https:\/\/www.gloss-floss.se\/en\/dental-implants\/\" target=\"_blank\" rel=\"noopener\">Dental implants<\/a><\/li>\n<li><a href=\"https:\/\/www.gloss-floss.se\/en\/sedation-for-relaxed-dentistry\/\" target=\"_blank\" rel=\"noopener\">Sedation for relaxed dentistry<\/a><\/li>\n<li><a href=\"https:\/\/www.gloss-floss.se\/en\/dental-consultation\/\" target=\"_blank\" rel=\"noopener\">Dental consultation<\/a><\/li>\n<\/ul>\n\n<hr style=\"border:0; border-top:1px solid rgba(255,255,255,0.25); margin:30px 0;\" \/>\n\n<h2>FAQ \u2013 Apical surgery and apicoectomy in S\u00f6dermalm<\/h2>\n\n<div style=\"border:1px solid #dddddd; background:#ffffff; color:#111111; padding:18px; border-radius:8px; margin:20px 0;\">\n\n<h3>What is apical surgery?<\/h3>\n<p>Apical surgery is a minor surgical procedure that treats infection at the tip of a tooth root. The infected tissue and a small part of the root end are removed, and the canal end is sealed to reduce the risk of reinfection.<\/p>\n\n<h3>Is apical surgery the same as apicoectomy?<\/h3>\n<p>Yes. Apical surgery, apicoectomy, root-end surgery and root-tip resection are terms used for the same type of tooth-saving procedure.<\/p>\n\n<h3>What is the difference between apical surgery and a root canal?<\/h3>\n<p>A root canal cleans and fills the canal from inside the tooth. Apical surgery treats the infection from outside the tooth at the root tip, usually when a root canal or retreatment cannot fully resolve the problem.<\/p>\n\n<h3>When is apical surgery needed?<\/h3>\n<p>It may be needed when infection remains around the root tip after previous root canal treatment, especially if retreatment is not possible, not predictable or would risk weakening the tooth.<\/p>\n\n<h3>Does apical surgery hurt?<\/h3>\n<p>The area is numbed with local anaesthesia, so the procedure itself should not be painful. After surgery, mild soreness, swelling or tenderness can occur for a few days and is usually manageable with standard aftercare.<\/p>\n\n<h3>How long is recovery after apical surgery?<\/h3>\n<p>Most patients return to normal routines within 1\u20132 days. Sutures are often checked or removed after about a week, while bone healing continues gradually over several months.<\/p>\n\n<h3>Can apical surgery save my tooth?<\/h3>\n<p>In many well-selected cases, apical surgery can help preserve the natural tooth. The prognosis depends on the tooth structure, root anatomy, infection size, restoration quality, gum support and follow-up.<\/p>\n\n<h3>When is extraction and an implant a better choice?<\/h3>\n<p>Extraction may be better if the tooth has a vertical root fracture, severe decay below the gum or bone level, weak remaining structure or poor periodontal support. In such cases, a dental implant or another replacement option may be more predictable.<\/p>\n\n<h3>Do I need CBCT or 3D imaging before surgery?<\/h3>\n<p>Some cases benefit from 3D assessment to understand the root anatomy, lesion and nearby structures. When needed, CBCT can be arranged or requested as part of diagnostic planning.<\/p>\n\n<h3>What should I avoid after apical surgery?<\/h3>\n<p>Avoid hard chewing on the treated side, strenuous exercise and disturbing the surgical area during the early healing phase. Follow the clinic\u2019s aftercare instructions carefully.<\/p>\n\n<h3>What warning signs should I watch for after surgery?<\/h3>\n<p>Contact the clinic if you experience increasing swelling, fever, worsening pain, persistent bleeding, pus, bad taste or signs that the infection is spreading.<\/p>\n\n<h3>Can I book a second opinion before removing a tooth?<\/h3>\n<p>Yes. If extraction has been suggested and you want to know whether the tooth can still be saved, a second opinion can help you understand the options before making a final decision.<\/p>\n\n<\/div>\n\n<hr style=\"border:0; border-top:1px solid rgba(255,255,255,0.25); margin:30px 0;\" \/>\n\n<h2>Book an assessment for apical surgery in S\u00f6dermalm<\/h2>\n\n<p>If you have ongoing symptoms after root canal treatment, recurring infection or uncertainty about whether a tooth should be removed, book an assessment at Gloss &amp; Floss Dental Care\u00ae in S\u00f6dermalm. We will review your case, explain the prognosis and help you choose the most appropriate next step.<\/p>\n\n<div style=\"border:1.5px solid #d6a622; background:#fffaf0; color:#111111; padding:20px; border-radius:10px; margin:30px 0;\">\n<h2 style=\"margin-top:0; color:#c99a13;\">Have a persistent infection after root canal treatment?<\/h2>\n<p>Apical surgery may help save the tooth when the prognosis is reasonable. Start with a structured assessment and clear treatment discussion.<\/p>\n<p style=\"margin-bottom:0;\"><a href=\"https:\/\/www.gloss-floss.se\/en\/dental-consultation\/\" target=\"_blank\" rel=\"noopener\"><strong>Book a dental consultation<\/strong><\/a> or read more about <a href=\"https:\/\/www.gloss-floss.se\/en\/second-opinion\/\" target=\"_blank\" rel=\"noopener\"><strong>second opinion at Gloss &amp; Floss<\/strong><\/a>.<\/p>\n<\/div>\n\n<p><em>This page provides general information about apical surgery and does not replace an individual diagnosis by a dentist.<\/em><\/p>\n\n<script type=\"application\/ld+json\">\n{\n  \"@context\": \"https:\/\/schema.org\",\n  \"@type\": \"FAQPage\",\n  \"mainEntity\": [\n    {\n      \"@type\": \"Question\",\n      \"name\": \"What is apical surgery?\",\n      \"acceptedAnswer\": {\n        \"@type\": \"Answer\",\n        \"text\": \"Apical surgery is a minor surgical procedure that treats infection at the tip of a tooth root. 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