Apicoectomy in Prešov
A surgical procedure in which we remove the inflamed tissue at the root of the tooth and the root tip. We then seal the canal with a filling from below. It helps save a tooth when inflammation has not settled even after root canal treatment.
- €200with Slovak insurance, €250 without
- 30–60 minprocedure time
- 6×magnification during the procedure
When repeat root canal treatment will not help
- Inflammation at the root persists even though the canals are well filled on the 3D CBCT.
- The tooth has a crown or a root post that would be difficult to remove.
- A broken instrument is stuck in the root and cannot be removed.
We perform apicoectomy on all teeth, front teeth and molars alike.
€200 with Slovak insurance, €250 without insurance
The price includes anaesthesia and the retrograde filling. The consultation with 3D CBCT costs €50. If you decide to have the apicoectomy, we deduct it from the price of the procedure. If you are not insured in Slovakia, ask us which price applies to you.
How an apicoectomy works
- 01
Consultation and 3D CBCT
On the 3D CBCT, we assess the inflammation, the root and how well the canals are filled. Based on this, we recommend an apicoectomy or repeat root canal treatment.
- 02
Procedure under local anaesthesia
Through a small incision in the gum, we remove the inflamed tissue and the root tip. We clean the canal from below and seal it with a bioceramic (calcium silicate) filling. We work under 6× magnification.
- 03
Stitches and instructions
We stitch the wound and you receive instructions on how to look after it. The procedure usually takes 30 minutes to an hour.
- 04
Stitch removal
We remove the stitches after 2 weeks.
How often the tooth can be saved
In a summary of studies using modern materials and loupe magnification, the tooth was saved in 88% of cases, and in 94% with a microscope. The difference was significant mainly for molars. With the older technique without magnification, the figure was 59%. These were meta-analyses of mostly non-randomised studies (Setzer et al., Journal of Endodontics 2010 and 2012).
Whether it is worth saving the tooth or whether an implant is the better option, we assess at the consultation.
Questions about apicoectomy
Does an apicoectomy hurt?
We perform the procedure under local anaesthesia, so it is painless. Once the anaesthesia wears off, the area may hurt for a few days. We will recommend a painkiller.
How long does the procedure take?
Usually 30 minutes to an hour.
Can an apicoectomy be done on any tooth?
We perform it on all teeth, front teeth and molars alike. We assess on the 3D CBCT whether it is suitable for your tooth.
When is an apicoectomy better than repeat root canal treatment?
We recommend an apicoectomy if the canals are well filled on the 3D CBCT, if the tooth has a crown or post that is difficult to remove, or if a broken instrument is stuck in the root. Otherwise, repeat root canal treatment is usually the first choice.
When are the stitches removed?
After 2 weeks.
How much does an apicoectomy cost?
€200 with Slovak public health insurance, €250 without insurance. The consultation with 3D CBCT costs €50. If you decide to have the apicoectomy, we deduct it from the price of the procedure.
Book a consultation
Call us on weekdays from 7:00 to 15:00 or send an e-mail to doubledentpo@gmail.com.
Call +421 948 955 416