Question 1

How long does an apicoectomy take?

Accepted Answer

An apicoectomy typically takes 45–90 minutes, depending on the tooth type, tooth position, and complexity of the case. Allow for additional time for preparation and follow-up at the practice.

Question 2

What is the success rate?

Accepted Answer

Thanks to modern technology, success rates are 85–95%, depending on tooth type and tooth position. Front teeth have higher success rates than molars.

Question 3

Does an apicoectomy hurt?

Accepted Answer

No. With local anesthesia or light sedation, you will not feel any pain during the procedure. After the procedure, mild pain may occur, which can be easily managed with pain medication.

Question 4

Can the tooth become painful again?

Accepted Answer

After a successful apicoectomy, the tooth should be pain-free. In very rare cases (less than 5%), problems may recur years later, but this is the exception.

Question 5

Will the tooth need to be extracted later?

Accepted Answer

No. The goal of an apicoectomy is long-term tooth preservation. With good care, the root canal treated tooth can be preserved for a lifetime. Extraction is only necessary if the apicoectomy was completely unsuccessful (very rare).

Root Tip Resection Vienna – Modern Apicoectomy